Individual
MR. AMBROSIO NARVASA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
7312 35TH AVE, SUITE AA, JACKSON HEIGHTS, NY 11372-4241
(718) 458-0616
(718) 458-0525
Mailing address
3239 73RD ST, EAST ELMHURST, NY 11370-1705
(718) 478-2864
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
024579
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02557019
—
NY
Enumeration date
03/24/2007
Last updated
07/08/2007
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