OSVALDO MOREIRA-GONZALEZ

RIVERHEAD, NY
NPI1801598479
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-03-20
Last Update Date2024-04-10
Business Address
OSVALDO MOREIRA-GONZALEZ PA-C
170 OLD COUNTRY RD
RIVERHEAD, NY 11901-2198
Phone number: 631-208-4460
Mailing Address
OSVALDO MOREIRA-GONZALEZ PA-C
209 HAWKINS AVE
RONKONKOMA, NY 11779-4265
Phone number: 631-897-4567