Individual provider · NPI-1

Cristina Ana Gonzalez, LPN

Licensed Practical Nurse · Islandia, NY

NPI number1588192512
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1588192512
Entity type
Individual (NPI-1)
Name
Cristina Ana Gonzalez
Credential
LPN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 4, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse325517-1NYYes

Practice location

76 Split Cedar Dr
Islandia, NY 11749-1615

Phone 631-697-6532

Mailing address

76 Split Cedar Dr
Islandia, NY 11749-1615

Phone 631-697-6532

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