Gonzalez, Carlos Manuel

Gonzalez, Carlos Manuel is an individual health care provider with primary practice located at 4107 76Th St , Elmhurst NY 11373-1929. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Gonzalez, Carlos Manuel can be contacted via phone (718) 803-3201.

Contact Information

Primary practice address
4107 76Th St Elmhurst NY 11373-1929
Phone: (718) 803-3201
Fax: (718) 803-0085
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 156591 New York

Profile Details

NPI number 1437162054
LBN Legal business name Gonzalez, Carlos Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jan 6th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437162054 NPPES
New York Other 0402872 UNITED HEALTHCARE
New York Other 15659101 UNITED HEALTHCARE
New York Other 113394561 UNITED HEALTHCARE
New York Other 4C3877 UNITED HEALTHCARE
New York Other P00156591 UNITED HEALTHCARE
New York Other 040426018611 UNITED HEALTHCARE
New York Other 21D17 UNITED HEALTHCARE
New York Other QN0029702 UNITED HEALTHCARE
New York Other 113394561 UNITED HEALTHCARE
New York Other 287760101 UNITED HEALTHCARE
New York Other AS74100570001 UNITED HEALTHCARE
New York Other 00156591 UNITED HEALTHCARE
New York Other 113394561 UNITED HEALTHCARE
New York Other 156591A29 UNITED HEALTHCARE
New York MEDICAID 00834244 UNITED HEALTHCARE
New York Other 149808 UNITED HEALTHCARE
New York Other OH345P UNITED HEALTHCARE

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