Individual
DR. FLAVIO ALFREDO GONZALEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
157 E 81ST ST, NEW YORK, NY 10028-1844
(212) 879-7014
(212) 628-8147
Mailing address
157 E 81ST ST, NEW YORK, NY 10028-1844
(212) 879-7014
(212) 628-8147
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
204558
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01768592
—
NY
Enumeration date
04/10/2006
Last updated
02/18/2010
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