Individual
MR. FRANCIS AUGUSTO GONZALES-GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
667923
NY
363L00000X
Nurse Practitioner
Primary
310585
NY
Other
Enumeration date
04/20/2021
Last updated
04/07/2022
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