Individual
DR. CARLOS MANUEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4107 76TH ST, ELMHURST, NY 11373-1929
(718) 803-3201
(718) 803-0085
Mailing address
4107 76TH ST, ELMHURST, NY 11373-1929
(718) 803-3201
(718) 803-0085
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
156591
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00156591
METROPLUS
NY
05
—
00834244
—
NY
01
—
0402872
UNITED HEALTHCARE
NY
01
—
040426018611
FIDELIS
NY
01
—
113394561
1199
NY
01
—
149808
WELLCARE
NY
01
—
15659101
NEIGHBORHOOD
NY
01
—
156591A29
HEALTHFIRST
NY
01
—
21D17
EMPIRE BC/BS
NY
01
—
287760101
HEALTHPLUS
NY
01
—
4C3877
HEALTHNET
NY
01
—
AS74100570001
CIGNA
NY
01
—
OH345P
HIP
NY
01
—
P00156591
OXFORD
NY
01
—
QN0029702
AMERICHOICE
NY
Enumeration date
08/14/2006
Last updated
01/06/2012
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