Provider Demographics
NPI:1609033398
Name:GONZALEZ, AIMEE LYNN (DACM, L AC)
Entity Type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:LYNN
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:DACM, L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 EAGLE RD
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1818
Mailing Address - Country:US
Mailing Address - Phone:347-267-0103
Mailing Address - Fax:
Practice Address - Street 1:35 COURT ST STE 1C
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-1709
Practice Address - Country:US
Practice Address - Phone:848-444-8358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171100000X
NY003799171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty