Marissa Gonzalez
NPI #1780461285 in Lido Beach, New York
Provider Information
- NPI Number
- 1780461285
- Entity Type
- Individual
- Name
- Marissa Gonzalez
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Sep 11, 2023
- Last Updated
- Apr 28, 2024
Practice Location
- Address
- 253 FAIRWAY RD
- City
- Lido Beach
- State
- New York
- ZIP Code
- 11561-4802
- Phone
- (516) 384-5149
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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