Individual
DORIS GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
530 OLD COUNTRY RD, WESTBURY, NY 11590-4500
(516) 333-9833
(516) 333-9836
Mailing address
1423 ROSE LN, EAST MEADOW, NY 11554-3617
(516) 483-2939
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
302715
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02742836
—
NY
Enumeration date
10/06/2006
Last updated
07/08/2007
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