Individual
MAURA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 SOUTHWOODS BLVD, ALBANY, NY 12211-2514
(518) 292-6000
Mailing address
7 SOUTHWOODS BLVD STE 17, ALBANY, NY 12211-2564
(518) 292-6000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311557
NY
Other
Enumeration date
02/12/2024
Last updated
03/21/2024
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