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Fermin P Gonzalez Md Pc
Adult Mental Health Clinic/Center in Corona, New York
NPI 1639377849

Fermin P Gonzalez Md Pc is an Adult Mental Health Clinic/Center based in Corona, NY and is specialized in Adult Mental Health. Fermin P Gonzalez Md Pc practices in Corona, NY. The NPI Number for Fermin P Gonzalez Md Pc is 1639377849 and holds a License No. 205495 (New York).

The current practice location address for Fermin P Gonzalez Md Pc is 102-11 Roosevelt Ave, Corona, NY and can be reached out via phone at 718-898-5200 and via fax at 718-898-3673.

Location: 102-11 Roosevelt Ave, Corona, NY, 11368-2331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639377849
Provider Name
Fermin P Gonzalez Md Pc
Credential
Provider Entity Type
Organization
Address
102-11 Roosevelt Ave, Corona, NY, 11368-2331
Phone Number
718-898-5200
Fax Number
718-898-3673
Provider Enumeration Date
07/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
205495 01 NY LICENSE
institution
Provider Business Practice Location Address Details
Address
102-11 Roosevelt Ave
City
Corona
State
New York
Zip
11368-2331
Phone Number
718-898-5200
Fax Number
718-898-3673
person
Provider Business Mailing Address Details
Address
102-11 Roosevelt Ave
City
Corona
State
New York
Zip
11368-2331
Phone Number
718-898-5200
Fax Number
718-898-3673
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
205495 (New York)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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