Gonzalez, Adrian M

Gonzalez, Adrian M is an individual health care provider with primary practice located at 220 Steuben St , Montour Falls NY 14865-9740. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Gonzalez, Adrian M can be contacted via phone (607) 535-7121.

Contact Information

Primary practice address
220 Steuben St Montour Falls NY 14865-9740
Phone: (607) 535-7121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 007226 New York

Profile Details

NPI number 1962589572
LBN Legal business name Gonzalez, Adrian M
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Apr 30th, 2014 - about 10 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

Identifiers

StateTypeNumberIssuer
All States NPI 1962589572 NPPES
New York MEDICAID 00359926

Popular Providers