MR. Luis Micheal Gomez, COTA

NPI #1659551828 in New York, New York

Provider Information

NPI Number
1659551828
Entity Type
Individual
Name
MR. Luis Micheal Gomez, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Community Health Worker
Credential
COTA
Enumeration Date
Nov 5, 2007
Last Updated
Nov 5, 2007

Practice Location

Address
313 W 143RD ST
Address 2
1A
ZIP Code
10030-1203
Phone
(646) 773-3832

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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