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Individual

MS. BRENDA JOYCE GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-C

Contact information

Practice address
421 MONTGOMERY ST FL 9, SYRACUSE, NY 13202-2923
(315) 435-3295
(315) 435-8242
Mailing address
421 MONTGOMERY ST FL 9, SYRACUSE, NY 13202-2923
(315) 435-3295
(315) 435-8242

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F-3000925-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4145865
MVP
NY
Enumeration date
03/19/2007
Last updated
07/08/2007
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