Individual
GISELLA PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1495 E 58TH ST, BROOKLYN, NY 11234-4121
(917) 586-0171
Mailing address
1495 E 58TH ST, BROOKLYN, NY 11234-4121
(917) 586-0171
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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