Mauricio Gonzalez MSPT

NPI 1619127404 - Physical Therapist - 2251P0200X

NPI Details
NPI 1619127404
Gender Male
Enumeration Date 09/29/2008
Last Updated 09/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
14711 84TH DR
BRIARWOOD NY, 11435-2233, US
Phone (718) 262-8737
Fax (718) 228-8430
Business Location
14711 84TH DR
BRIARWOOD NY, 11435-2233, US
Phone (718) 262-8737
Fax (718) 228-8430
Toxanomy
Taxonomy Code 2251P0200X
License State New York
License Number 024890-1
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According to our database, Mauricio Gonzalez MSPT NPI is 1619127404, taxonomy code is 2251P0200X and license number is 024890-1, license state is located at New York. Mauricio Gonzalez MSPT physically located at 14711 84th Dr, Briarwood NY, 11435-2233. NPI Number Mauricio Gonzalez MSPT has the Individual type.

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1619127404 NPI number is provided on an as is basis without warranty of any kind. 1619127404 is maintained by the National Plan & Provider Enumeration System. The contents of Mauricio Gonzalez MSPT are for informational purposes only.