Individual
JENNIFER GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7 S JERSEY AVE STE 1, EAST SETAUKET, NY 11733-2065
(631) 751-3000
(631) 751-0506
Mailing address
1500 ROUTE 112 BLDG 4, PORT JEFFERSON STATION, NY 11776-8055
(631) 751-3000
(631) 751-0506
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
224617
NY
Other
Enumeration date
09/20/2006
Last updated
08/31/2021
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