Organization
ELIE R GONZALES MD
Active
Organization
ELIE R GONZALES MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIE R GONZALES MD (OWNER)
(315) 342-4217
Entity
Organization
Contact information
Practice address
38 ERIE ST, OSWEGO, NY 13126-3803
(315) 342-4217
(315) 342-7205
Mailing address
PO BOX 340, NEW HARTFORD, NY 13413-0340
(315) 732-9368
(315) 732-9403
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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