Gonzales, Emelito

Gonzales, Emelito is an individual health care provider with primary practice located at 707 E Main St , Middletown NY 10940-2650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Gonzales, Emelito can be contacted via phone (845) 695-5999.

Contact Information

Primary practice address
707 E Main St Middletown NY 10940-2650
Phone: (845) 695-5999
Fax: (845) 695-5832
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 1254391 New York
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 25MA03439400 New Jersey

Profile Details

NPI number 1497709091
LBN Legal business name Gonzales, Emelito
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated May 29th, 2014 - about 12 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 1497709091 NPPES
New York MEDICAID 00234868
New York MEDICAID 2236303

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