Individual
ANNA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
57 HALE ST, BRENTWOOD, NY 11717-2214
(631) 433-2579
Mailing address
57 HALE ST, BRENTWOOD, NY 11717-2214
(631) 433-2579
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
505387
NY
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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