Individual provider · Type 1 NPI

Virginia Gonzalez

Medical Physician Assistant · Freeport, NY

NPI number 1962841296 Active

Practice location

55 N Main St
Freeport, NY 11520-2243

Mailing address

976 Northern Blvd
Baldwin, NY 11510-4938

Other practice locations

  • 385 W Sunrise Hwy, Freeport, NY 11520-3120 · (516) 321-4747
  • 2103 Deer Park Ave Ste 2, Deer Park, NY 11729-1317 · (631) 574-2060
  • 6405 Woodside Ave Ste 1, Woodside, NY 11377-3695 · (877) 376-2751

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1962841296

Virginia Gonzalez's National Provider Identifier is 1962841296, issued on Jun 20, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Freeport, NY. The record was last updated on Mar 17, 2018.