Individual
MS. EDITH JANNETTE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13420 JAMAICA AVE, JAMAICA, NY 11418-2619
(718) 206-8440
(718) 206-8441
Mailing address
134-20 JAMAICA AVE., JAMAICA, NY 11418
(718) 206-8440
(718) 206-8441
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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