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1609225002
MICHAEL GONZALEZ
NEW HYDE PARK, NY
NPI
1609225002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 67003009)
Enumeration Date
2016-06-07
Last Update Date
2016-06-07
Business Address
-- MICHAEL GONZALEZ MS., LAT
1983 MARCUS AVE
NEW HYDE PARK, NY 11042-2000
Phone number: 516-321-7804
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Mailing Address
-- MICHAEL GONZALEZ MS., LAT
16 BELLA VISTA AVE
GLEN COVE, NY 11542-3706
Phone number:
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