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Individual

EMELITO GONZALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 695-5999
(845) 695-5832
Mailing address
2 LAKE ST, SUITE 201, MONROE, NY 10950-3542
(845) 837-1388
(845) 837-1389

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
1254391
NY
2085R0001X
Radiation Oncology Physician
25MA03439400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00234868
NY
05
2236303
NJ
Enumeration date
05/19/2006
Last updated
07/15/2025
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