Gonzalez, Eulogio

Gonzalez, Eulogio is an individual health care provider with primary practice located at 85 W Burnside Ave , Bronx NY 10453-4015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gonzalez, Eulogio can be contacted via phone (718) 716-4400.

Contact Information

Primary practice address
85 W Burnside Ave Bronx NY 10453-4015
Phone: (718) 716-4400
Fax: (718) 228-7471
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 176363 New York

Profile Details

NPI number 1912974957
LBN Legal business name Gonzalez, Eulogio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Mar 14th, 2012 - about 14 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 1912974957 NPPES
New York MEDICAID 1189853

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