Gonzalez, Adrian M
Gonzalez, Adrian M is an individual health care provider with primary practice located at 220 Steuben St , Montour Falls NY 14865-9740. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Gonzalez, Adrian M can be contacted via phone (607) 535-7121.Contact Information
Primary practice address
220 Steuben St
Montour Falls NY 14865-9740
Phone: (607) 535-7121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 007226 | New York |
Profile Details
| NPI number | 1962589572 |
|---|---|
| LBN Legal business name | Gonzalez, Adrian M |
| Credentials | RPA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Apr 30th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962589572 | NPPES |
| New York | MEDICAID | 00359926 |
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