Jose A. Gonzalez Dc PC
Clinic/Center in Bay Shore, NY. Organization (NPI-2).
NPI number1972815397
StatusActive
Last updated in NPPESJul 14, 2010
Details
- NPI
- 1972815397
- Entity type
- Organization (NPI-2)
- Legal business name
- Jose A. Gonzalez Dc PC
- Organization subpart
- No
- Enumeration date
- Jul 14, 2010
- Last updated
- Jul 14, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | xoo8699-1 | NY | Yes |
Practice location
1805 5th AveSuite 2
Bay Shore, NY 11706-1761
Phone 631-219-1706 · Fax 631-922-8878
Mailing address
7 Mayfield DrMastic Beach, NY 11951-1704
Phone 631-219-1706 · Fax 631-922-8878
Authorized official
Jose A Gonzalez
President
6312191706
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