Individual
CHARMAINE JACKQULIN GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
8923 FLATLANDS AVE, BROOKLYN, NY 11236-3613
(718) 765-6000
(347) 436-9621
Mailing address
PO BOX 746087, ATLANTA, GA 30374-6087
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305324
NY
Other
Enumeration date
04/13/2010
Last updated
08/14/2024
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