Luz Estrada Gonzalez, DPM
Podiatrist in Brooklyn, NY. Individual provider (NPI-1).
NPI number1124136643
StatusActive
Last updated in NPPESJan 8, 2021
Details
- NPI
- 1124136643
- Entity type
- Individual (NPI-1)
- Name
- Luz Estrada Gonzalez
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2006
- Certification date
- Jan 8, 2021
- Last updated
- Jan 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | N004883 | NY | Yes |
Practice location
9413 Flatlands Avenue201 E
Brooklyn, NY 11236-3741
Phone 718-649-6464 · Fax 718-649-6426
Mailing address
6734 Selfridge StForest Hills, NY 11375-5739
Phone 917-767-9004 · Fax 718-649-6426
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