Individual
PEDRO M GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4802 25TH AVE, ASTORIA, NY 11103-1021
(917) 502-3841
Mailing address
4802 25TH AVE, ASTORIA, NY 11103-1021
(917) 502-3841
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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