Individual
FREDERICK A. GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(914) 523-4227
(914) 231-9126
Mailing address
16 HIGHLAND AVE, TARRYTOWN, NY 10591-4205
(914) 523-4227
(914) 231-9126
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
131268
NY
207VM0101X
Maternal & Fetal Medicine Physician
6490754-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00843509
—
UT
Enumeration date
07/21/2006
Last updated
04/24/2017
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