Individual
MR. UBALDO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
885 ORCHARD STREET, NEW SUFFOLK, NY 11956-0248
(631) 734-5972
Mailing address
PO BOX 248, 885 ORCHARD ST., NEW SUFFOLK, NY 11956-0248
(631) 734-5972
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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