Individual
JOSUE E GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP-C
Contact information
Practice address
43 CROSSWAYS PARK DR W, WOODBURY, NY 11797-2002
(516) 938-3000
(516) 938-3239
Mailing address
43 CROSSWAYS PARK DR W, WOODBURY, NY 11797-2002
(516) 938-3000
(516) 938-3239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
F309217
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F309217
NY
Other
Enumeration date
09/12/2019
Last updated
10/14/2022
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