Individual provider · Type 1 NPI

Evelio Samuel Gonzalez, MD

Student in an Organized Health Care Education/Training Program · Glen Oaks, NY

NPI number 1275336802 Active

Practice location

7559 263rd St
Glen Oaks, NY 11004-1150

Call (718) 470-8005 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1275336802

Evelio Samuel Gonzalez, MD's National Provider Identifier is 1275336802, issued on Mar 29, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Glen Oaks, NY. The record was last updated on Mar 29, 2025.