Healthcare Provider Details

I. General information

NPI: 1508793399
Provider Name (Legal Business Name): DAWNETTE VERA PATRICE GONZAGUE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MERCY HEALTH ANDERSON HOSPITAL EMERGENCY MEDICINE RESID 7500 STATE ROAD
CINCINNATI OH
45255
US

IV. Provider business mailing address

736 WILLOUGHBY AVE APT 5B
BROOKLYN NY
11206
US

V. Phone/Fax

Practice location:
  • Phone: 513-624-4550
  • Fax:
Mailing address:
  • Phone: 758-729-2018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: