| Mrs Kaitlyn Gonzalez, | |
| 
					790 Park Ave, Huntington, NY 11743-4516  | |
| (631) 427-3700 | |
| Not Available | 
| Full Name | Mrs Kaitlyn Gonzalez | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 790 Park Ave, Huntington, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780155382 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 692965-1 (New York) | Secondary | 
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F405403-01 (New York) | Primary | 
| Entity Name | Family Service League Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1528093242 PECOS PAC ID: 4284524448 Enrollment ID: O20040319000463  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Kaitlyn Gonzalez, 790 Park Ave, Huntington, NY 11743-4516 Ph: (631) 427-3700  | Mrs Kaitlyn Gonzalez, 790 Park Ave, Huntington, NY 11743-4516 Ph: (631) 427-3700  | 
Ashley Victoria Hauer,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 195 E Main St, Huntington, NY 11743 Phone: 631-401-5325  | |
Robert Mccallion, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 175 East Main Street, Huntington, NY 11743 Phone: 631-424-3787 Fax: 631-427-0198  | |
Christine M Colacino, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: West Carver Medical Associates, 200 West Carver St., Huntington, NY 11743 Phone: 631-421-0020 Fax: 631-421-0688  | |
Andrea Schmitz, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 270 Park Ave, Huntington, NY 11743 Phone: 631-351-2000  | |
Erin O'mahoney, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 270 Park Ave, Huntington, NY 11743 Phone: 631-351-2200  | |
Ms. Ruthellen Trimmer, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 270 Park Ave, Huntington, NY 11743 Phone: 631-351-2000  | |
Stephanie George Porter,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 270 Park Ave, Huntington, NY 11743 Phone: 631-351-2035  |