Individual
DR. SUSANA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1283 YORK AVENUE, NEW YORK, NY 10021
(646) 962-4000
Mailing address
1305 YORK AVE FL 4, NEW YORK, NY 10021-5663
(646) 962-4000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
238874
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03228580
—
NY
Enumeration date
09/24/2008
Last updated
07/09/2018
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