Individual provider · Type 1 NPI

Ubaldo Gonzalez, MD

Ophthalmologic Surgery Clinic/Center · New Suffolk, NY

NPI number 1770828519 Active

Practice location

885 Orchard Street
New Suffolk, NY 11956-0248

Mailing address

PO Box 248, 885 Orchard St.
New Suffolk, NY 11956-0248

Specialties and licenses

TaxonomyCodeLicense
Ophthalmologic Surgery Clinic/Center Primary 261QS0132XNone listed

Ophthalmologic Surgery Clinic/Center: Definition to come...

About NPI 1770828519

Ubaldo Gonzalez, MD's National Provider Identifier is 1770828519, issued on Dec 5, 2012. The primary taxonomy on file is Ophthalmologic Surgery Clinic/Center (261QS0132X), and the practice location is in New Suffolk, NY. The record was last updated on Dec 5, 2012.