Individual
MR. DANIEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 E KINGSBRIDGE RD, BRONX, NY 10468-7502
(718) 933-0278
(718) 933-0279
Mailing address
30 E KINGSBRIDGE RD, BRONX, NY 10468-7502
(718) 933-0278
(718) 933-0279
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
034413
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02906361
—
NY
Enumeration date
12/18/2007
Last updated
01/05/2012
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