person
Wilson Gonzalez
NPI 1740716745

Wilson Gonzalez is a Taxi based in Lake Ronkonkoma, NY. Wilson Gonzalez practices in Lake Ronkonkoma, NY. The NPI Number for Wilson Gonzalez is 1740716745 and holds a License No. 756867726 (New York).

The current practice location address for Wilson Gonzalez is 2 Fern Dr, Lake Ronkonkoma, NY and can be reached out via phone at 631-572-9585.

Location: 2 Fern Dr, Lake Ronkonkoma, NY, 11779-4505
person
Provider Profile Details
NPI Number
1740716745
Provider Name
Wilson Gonzalez
Credential
Provider Entity Type
Individual
Gender
Male
Address
2 Fern Dr, Lake Ronkonkoma, NY, 11779-4505
Phone Number
631-572-9585
Fax Number
Provider Enumeration Date
05/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2 Fern Dr
City
State
Zip
11779-4505
Phone Number
631-572-9585
Fax Number
person
Provider Business Mailing Address Details
Address
2 Fern Dr
City
State
Zip
11779-4505
Phone Number
631-572-9585
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Taxi
Speciality
-
Taxonomy
License No.
756867726 (New York)
Definition
A land commercial vehicle used for the transporting of persons in non-emergency situations. The vehicle meets local, county or state regulations set forth by the jurisdictions where it is located.
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