Gonzalez, Lilian A

Gonzalez, Lilian A is an individual health care provider with primary practice located at 175 Memorial Hwy Suite Ll8, New Rochelle NY 10801-5635. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gonzalez, Lilian A can be contacted via phone (914) 235-7530.

Contact Information

Primary practice address
175 Memorial Hwy Suite Ll8 New Rochelle NY 10801-5635
Fax: (914) 235-8470
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 193612 New York

Profile Details

NPI number 1386749935
LBN Legal business name Gonzalez, Lilian A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 8th, 2007 - 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 1386749935 NPPES
New York MEDICAID 01579226

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