| Jose A. Gonzalez Dc Pc | |
|
1805 5th Ave Suite 2 Bay Shore NY 11706-1761 | |
| (631) 219-1706 | |
| (631) 922-8878 |
| Full Name | Jose A. Gonzalez Dc Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 1805 5th Ave, Bay Shore, New York |
| Authorized Official Name and Position | Jose A Gonzalez (PRESIDENT) |
| Authorized Official Contact | 6312191706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose A. Gonzalez Dc Pc 7 Mayfield Dr Mastic Beach NY 11951-1704 Ph: (631) 219-1706 | Jose A. Gonzalez Dc Pc 1805 5th Ave Suite 2 Bay Shore NY 11706-1761 Ph: (631) 219-1706 |
| NPI Number | 1972815397 |
|---|---|
| Provider Enumeration Date | 07/14/2010 |
| Last Update Date | 07/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972815397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | XOO8699-1 (New York) | Primary |
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