Individual
MR. ANTONIO GOMEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1315 HIGH FALLS RD, CATSKILL, NY 12414-5605
(518) 929-4199
Mailing address
1315 HIGH FALLS RD, CATSKILL, NY 12414-5605
(518) 929-4199
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
474056-1
NY
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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