Randy M Gonzales, L.AC,LMT

NPI #1972944312 in Farmingville, New York

Provider Information

NPI Number: 1972944312
Entity Type: Individual
Name: Randy M Gonzales, L.AC,LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC,LMT
Enumeration Date: Jul 15, 2013
Last Updated: Jun 25, 2015

Practice Location

Address: 999 OLD MEDFORD AVE
City: Farmingville
State: New York
ZIP Code: 11738-2829
Phone: (631) 875-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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