Gonzalez, Edwin

Gonzalez, Edwin is an sole proprietor health care provider with primary practice located at 2201 Hempstead Tpke 8Th Floor - Pavillion, East Meadow NY 11554-1859. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gonzalez, Edwin can be contacted via phone (516) 572-6705.

Contact Information

Primary practice address
2201 Hempstead Tpke 8Th Floor - Pavillion East Meadow NY 11554-1859
Phone: (516) 572-6705
Fax: (516) 572-5140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 182992-1 New York

Profile Details

NPI number 1649247628
LBN Legal business name Gonzalez, Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2006
Last updated Apr 14th, 2008 - about 17 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 1649247628 NPPES
New York MEDICAID 01839909

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