Individual
MAURICIO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
14711 84TH DR, BRIARWOOD, NY 11435-2233
(718) 262-8737
(718) 228-8430
Mailing address
14711 84TH DR, BRIARWOOD, NY 11435-2233
(718) 262-8737
(718) 228-8430
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
024890-1
NY
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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