Individual
EDWIN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 HEMPSTEAD TPKE, 8TH FLOOR - PAVILLION, EAST MEADOW, NY 11554-1859
(516) 572-6705
(516) 572-5140
Mailing address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6705
(516) 572-5140
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
182992-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01839909
—
NY
Enumeration date
03/08/2006
Last updated
04/14/2008
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