Individual
DR. JENNIFER GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
46 GERARD ST, HUNTINGTON, NY 11743-6944
(631) 425-2600
Mailing address
46 GERARD ST, HUNTINGTON, NY 11743-6944
(631) 425-2600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010965
NY
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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