MEDICARE: DR. YAHAIRA FRANCES GONZALEZ DNP, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	357757	NY
2	163W00000X	Registered Nurse	652046	NY
3	163W00000X	Registered Nurse	26NR22704200	NJ

General Provider Information

NPI Number	:	1386524072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YAHAIRA FRANCES GONZALEZ DNP, FNP-BC

Provider Business Mailing Address
First Line	:	161 FORT WASHINGTON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-3729
Country	:	US
Telephone Number	:	917-885-3259
Fax Number	:

Provider Business Practice Location Address
First Line	:	161 FORT WASHINGTON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-3729
Country	:	US
Telephone Number	:	917-885-3259
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2025
Last Update Date	:	02/03/2026

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