Individual
DR. JOSE ANTONIO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 CENTRAL AVE, ALBANY, NY 12205-2702
(518) 496-0862
(518) 435-9431
Mailing address
PO BOX 5655, ALBANY, NY 12205-0655
(518) 466-1129
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
161754
NY
Other
Enumeration date
01/08/2007
Last updated
01/25/2024
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