Individual
MS. SANDRA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 RIVERSIDE DRIVE, SUITE 730, NEW YORK, NY 10115-0797
(212) 221-2223
Mailing address
8619 75TH ST, WOODHAVEN, NY 11421-1828
(718) 812-8542
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
08/02/2010
Last updated
08/30/2013
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