Individual
ADRIAN M GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
220 STEUBEN ST, MONTOUR FALLS, NY 14865-9740
(607) 535-7121
Mailing address
220 STEUBEN ST, MONTOUR FALLS, NY 14865-9740
(607) 535-7121
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007226
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00359926
—
NY
Enumeration date
11/01/2006
Last updated
04/30/2014
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