Individual
MR. ERNESTO ELEAZAR GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(203) 676-2422
Mailing address
203 ARLEIGH RD, DOUGLASTON, NY 11363-1142
(203) 676-2422
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2084P0800X
MA
Other
Enumeration date
03/31/2009
Last updated
05/24/2023
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