Search › New York › 344600000X
Wilson Gonzalez
NPI 1740716745 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2 Fern Dr
Lake Ronkonkoma, NY 11779 - Phone
- (631) 572-9585
Registry record
- Primary taxonomy
- 344600000X
344600000X
- Also registered as
- 344600000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York