Individual
LEIDY JOHANA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7494
(212) 423-6684
Mailing address
1901 1ST AVE, NEW YORK, NY 10029-7494
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
333450
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2021
Last updated
10/23/2024
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