Individual provider · Type 1 NPI
Rosa Gonzalez, PA
Medical Physician Assistant · Forest Hills, NY
NPI number
1487774469
Active
Practice location
114- 06 Queens Blvd, Suite 1G
Forest Hills, NY 11375
Fax (718) 275-5509
Mailing address
114- 06 Queens Boulevard, Suite 1G
Forest Hills, NY 11375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 003752 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1487774469
Rosa Gonzalez, PA's National Provider Identifier is 1487774469, issued on Mar 31, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Forest Hills, NY. The record was last updated on Jul 7, 2010.