| Doctor Name: | MRS. HEIDI GONZALES-NEGRON |
| NPI Number: | 1568794626 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.P.T. |
| License Number: | 016123 |
| Business Practice Address: | 12520 5th Ave College Point, NY - 113561202 |
| Business Phone Number: | 9175825527 |
| Business Fax Number: | 7189614251 |
| Mailing Address: | 12520 5th Ave, COLLEGE POINT |
| State: | NY |
| Postal Code: | 113561202 |
| Phone Number: | 9175825527 |
| Fax Number: | 7189614251 |
| NPI Enumeration Date: | 01/31/2010 |
| NPI Last Update Date: | 01/31/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 016123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |