Fermin P Gonzalez MD PC
Clinic/Center, Adult Mental Health in Corona, NY. Organization (NPI-2).
NPI number1639377849
StatusActive
Last updated in NPPESMar 17, 2017
Details
- NPI
- 1639377849
- Entity type
- Organization (NPI-2)
- Legal business name
- Fermin P Gonzalez MD PC
- Organization subpart
- No
- Enumeration date
- Jul 10, 2007
- Last updated
- Mar 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | 205495 | NY | Yes |
Practice location
102-11 Roosevelt AveCorona, NY 11368-2331
Phone 718-898-5200 · Fax 718-898-3673
Mailing address
102-11 Roosevelt AveCorona, NY 11368-2331
Phone 718-898-5200 · Fax 718-898-3673
Authorized official
Fermin P Gonzalez
Doctor
7188985200
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