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1801255286
IVONNE ANTONIA GOMEZ
BRONX, NY
NPI
1801255286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 0194301)
Enumeration Date
2016-02-15
Last Update Date
2016-02-15
Business Address
IVONNE ANTONIA GOMEZ PA
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-2146
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Mailing Address
IVONNE ANTONIA GOMEZ PA
3164 34TH ST APT B3
ASTORIA, NY 11106-1793
Phone number: 917-569-5836
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