Individual
DR. ELAINE ANNE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
853 BROADWAY, SUITE 2001, NEW YORK, NY 10003-4703
(212) 533-4606
Mailing address
6750 THORNTON PL, APT 6C, FOREST HILLS, NY 11375-4171
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051798
NY
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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