Individual
CAROL VALERIE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5530 98TH PL APT 5J, CORONA, NY 11368-3047
(917) 349-9448
Mailing address
5530 98TH PL APT 5J, CORONA, NY 11368-3047
(917) 349-9448
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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