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Individual

GENESIS MABEL GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
145 HUGUENOT ST, NEW ROCHELLE, NY 10801-5200
(914) 251-0905
(914) 251-1266
Mailing address
665 BURKE AVE, BRONX, NY 10467-6617
(646) 549-9685

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/13/2015
Last updated
08/13/2015
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