Individual
PAUL EDWARD GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3540 82ND ST STE 1D, JACKSON HEIGHTS, NY 11372-5106
(718) 507-5800
(718) 507-2154
Mailing address
3540 82ND ST STE 1D, JACKSON HEIGHTS, NY 11372-5106
(718) 507-5800
(718) 507-2154
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
270724
NY
Other
Enumeration date
09/16/2013
Last updated
10/01/2024
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