Individual
MS. MARIE A. GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC ,MS
Contact information
Practice address
196 MAIN ST, STORE FRONT, NYACK, NY 10960-2450
(845) 398-1312
(201) 767-3133
Mailing address
82 LEGION PL, CLOSTER, NJ 07624-2518
(201) 767-9091
(201) 767-3133
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000649
NY
Other
Enumeration date
01/20/2007
Last updated
07/08/2007
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