JUAN P HERNANDEZ GOMEZ

STATEN ISLAND, NY
NPI1598384232
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-13
Last Update Date2020-04-13
Business Address
JUAN P HERNANDEZ GOMEZ MD
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-8855
Mailing Address
JUAN P HERNANDEZ GOMEZ MD
258 SAND LN
STATEN ISLAND, NY 10305-4503
Phone number: 718-308-6944