Individual
LAURA ELIZABETH GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030
(516) 321-7808
Mailing address
7 LAWRENCE RD, DEER PARK, NY 11729-5511
(631) 416-1426
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
648462
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
431380
NY
Other
Enumeration date
07/12/2018
Last updated
08/15/2018
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