Individual
YESENIA ENRIQUEZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 HARRISON ST STE 400, JOHNSON CITY, NY 13790-2176
(607) 763-8008
Mailing address
33 LEWIS RD, FL 2, BINGHAMTON, NY 13905
(607) 770-0025
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
336490
NY
208D00000X
General Practice Physician
021133
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2015
Last updated
08/20/2025
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