MEDICARE: KRISTY GONZALEZ

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	2251X0800X	Orthopedic Physical Therapist	051506-01	NY

General Provider Information

NPI Number	:	1164291274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTY GONZALEZ

Provider Business Mailing Address
First Line	:	131 W MAIN ST
Second Line	:
City	:	BAY SHORE
State	:	NY
Zip	:	11706-8315
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	131 W MAIN ST
Second Line	:
City	:	BAY SHORE
State	:	NY
Zip	:	11706-8315
Country	:	US
Telephone Number	:	631-665-4560
Fax Number	:	631-665-7213

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

Provider Enumeration Date	:	12/29/2023
Last Update Date	:	12/29/2023

Similar Medicare Providers

1053852970 — JACLYN SARAH CAHILL DPT
Practice Location Address:

131 W MAIN ST
BAY SHORE, NY
11706-8315

Practice Phone: 631-665-4560
Practice Fax: 631-665-7213

1619914801 — KAREN M ECKARDT PT
Practice Location Address:

131 W MAIN ST
BAY SHORE, NY
11706-8315

Practice Phone: 631-665-4560
Practice Fax: 631-665-7213

1134300551 — JOSEPH T BURBIGE PT
Practice Location Address:

131 W MAIN ST
BAY SHORE, NY
11706-8315

Practice Phone: 631-665-4560
Practice Fax: 631-665-7213

1982366159 — DARIA BYSTRY
Practice Location Address:

131 W MAIN ST
BAY SHORE, NY
11706-8315

Practice Phone: 631-665-4560
Practice Fax:

1265788657 — ORONO PUBLIC SCHOOL DISTRICT ISD 0278
Practice Location Address:

685 N OLD CRYSTAL BAY RD
LONG LAKE, MN
55356-8315

Practice Phone: 952-449-8370
Practice Fax:

1477994143 — LUZ MERY POBLANO RN
Practice Location Address:

59 KANSAS AVE
BAY SHORE, NY
11706-5224

Practice Phone: 631-793-4899
Practice Fax:

Directions to “ KRISTY GONZALEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.