National Provider Identifier
Joel Gomez
Joel Gomez is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Brockport, NY and a listed phone number of (585) 391-3548.
Profile Overview
- NPI
- 1801280425
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- March 20, 2015
- Last Updated
- March 20, 2015
Practice Location
- 291 Main St.
- Brockport, NY 14420
Phone: (585) 391-3548
Mailing Address
- 291 Main St
- Brockport, NY 14420-2250
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1801280425
- Entity Type
- Individual
- Last Name
- Gomez
- First Name
- Joel
- Mailing Street Address
- 291 Main St
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-2250
- Mailing Country
- US
- Mailing Phone
- (585) 391-3548
- Practice Street Address
- 291 Main St.
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420
- Practice Country
- US
- Practice Phone
- (585) 391-3548
- Enumeration Date
- March 20, 2015
- Last Updated
- March 20, 2015
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)