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Jose A. Gonzalez Dc Pc
Clinic/Center in Bay Shore, New York
NPI 1972815397

Jose A. Gonzalez Dc Pc is a Clinic/Center based in Mastic Beach, NY. Jose A. Gonzalez Dc Pc practices in Bay Shore, NY. The NPI Number for Jose A. Gonzalez Dc Pc is 1972815397 and holds a License No. XOO8699-1 (New York).

The current practice location address for Jose A. Gonzalez Dc Pc is 1805 5Th Ave, Bay Shore, NY and can be reached out via phone at 631-219-1706 and via fax at 631-922-8878.

Location: 1805 5Th Ave, Bay Shore, NY, 11951-1704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972815397
Provider Name
Jose A. Gonzalez Dc Pc
Credential
Provider Entity Type
Organization
Address
1805 5Th Ave, Bay Shore, NY, 11951-1704
Phone Number
631-219-1706
Fax Number
631-922-8878
Provider Enumeration Date
07/14/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1805 5Th Ave
City
Bay Shore
State
New York
Zip
11706-1761
Phone Number
631-219-1706
Fax Number
631-922-8878
person
Provider Business Mailing Address Details
Address
1805 5Th Ave
City
Bay Shore
State
New York
Zip
11706-1761
Phone Number
631-219-1706
Fax Number
631-922-8878
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
XOO8699-1 (New York)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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