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NPI Code Detail

MEDICARE: DR. EFRAIN GONZALEZ M.D.

MEDICARE: DR. EFRAIN GONZALEZ M.D.
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
1207R00000XInternal Medicine Physician227212NY
2207RI0200XInfectious Disease Physician227212NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407872211
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EFRAIN GONZALEZ M.D.
Provider Business Mailing Address
First Line : 4234 BRONX BLVD FL 2
Second Line :
City : BRONX
State : NY
Zip : 10466-2668
Country : US
Telephone Number : 347-341-4300
Fax Number : 718-960-2033
Provider Business Practice Location Address
First Line : 4234 BRONX BLVD FL 2
Second Line :
City : BRONX
State : NY
Zip : 10466-2668
Country : US
Telephone Number : 347-341-4300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 09/14/2023

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