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Individual

ALBERTO DE JESUS GONZALEZ ZACARIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
147 LAKE ST, NEWBURGH, NY 12550-5263
(845) 563-8000
Mailing address
2570 ROUTE 9W STE 10, CORNWALL, NY 12518-1370
(845) 220-3100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
323804
NY

Other

Enumeration date
07/21/2020
Last updated
11/29/2023
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