Individual provider · Type 1 NPI

Simon Peter Gonzalez

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1790305886 Active

Practice location

102 Pilling St
Brooklyn, NY 11207-1610

Call (718) 602-1000 Map

Mailing address

293 Grand Ave Apt 3L
Brooklyn, NY 11238-1245

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790305886

Simon Peter Gonzalez's National Provider Identifier is 1790305886, issued on Apr 20, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 20, 2020.