Individual
CORINA LUZ GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1762 CENTRAL AVE, ALBANY, NY 12205-4773
(518) 389-1310
Mailing address
6079 E OLD STATE RD, SCHENECTADY, NY 12303-3570
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
273008
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03748336
—
NY
Enumeration date
05/19/2009
Last updated
12/02/2021
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