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Individual

JENNIFER GOMEZ

Active
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Individual

JENNIFER GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
698967
NY
208000000X
Pediatrics Physician
383233
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
383233
NY

Other

Enumeration date
06/15/2021
Last updated
04/29/2026
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