Individual
JUAN P GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2459 MERRICK RD, BELLMORE, NY 11710-5703
(516) 783-4600
Mailing address
418-420 5TH AVENUE, BROOKLYN, NY 11215
(516) 783-4600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
205061
NY
Other
Enumeration date
10/12/2005
Last updated
08/19/2016
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