Amaya Gonzalez, Jessica L

Amaya Gonzalez, Jessica L is an sole proprietor health care provider with primary practice located at 100 Port Washington Blvd , Roslyn NY 11576-1353. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Amaya Gonzalez, Jessica L can be contacted via phone (516) 562-6766.

Contact Information

Primary practice address
100 Port Washington Blvd Roslyn NY 11576-1353
Phone: (516) 562-6766
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X F308225-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F308225-1 New York

Profile Details

NPI number 1144737164
LBN Legal business name Amaya Gonzalez, Jessica L
Credentials ADULT/GERONTOLOGY NP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2017
Last updated Apr 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers