DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: EVANGELINE MERCADO GONZAL DPT

MEDICARE: EVANGELINE MERCADO GONZAL DPT
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
1225100000XPhysical Therapist041840NY

General Provider Information

NPI Number : 1548865744
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVANGELINE MERCADO GONZAL DPT
Provider Business Mailing Address
First Line : 17119 HILLSIDE AVE
Second Line :
City : JAMAICA
State : NY
Zip : 11432-4548
Country : US
Telephone Number : 718-400-7000
Fax Number : 718-400-7001
Provider Business Practice Location Address
First Line : 17119 HILLSIDE AVE
Second Line :
City : JAMAICA
State : NY
Zip : 11432-4548
Country : US
Telephone Number : 718-400-7000
Fax Number : 718-400-7001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2020
Last Update Date : 03/01/2021

Similar Medicare Providers

1780119404 — DR. PAUL SALIB MD, DO
Practice Location Address:
17119 HILLSIDE AVE
JAMAICA, NY
11432-4548
Practice Phone: 718-400-7000
Practice Fax: 718-400-7001
1982533964 — MS. JULLIEN NOELLE CABATINGAN KWEK PT
Practice Location Address:
17119 HILLSIDE AVE
JAMAICA, NY
11432-4548
Practice Phone: 718-400-7000
Practice Fax:
1942654694 — KNICKERBOCKER DIALYSIS INC
Practice Location Address:
171-19 HILLSIDE AVE
JAMAICA, NY
11432-4548
Practice Phone: 718-526-2051
Practice Fax: 718-739-3303
1427661065 — ACTIVE UNITED CARE PHYSICAL THERAPY, PLLC
Practice Location Address:
17119 HILLSIDE AVE
JAMAICA, NY
11432-4548
Practice Phone: 516-710-6965
Practice Fax:
1114592649 — RASIKA HATTI
Practice Location Address:
17119 HILLSIDE AVE
JAMAICA, NY
11432-4548
Practice Phone: 718-400-7000
Practice Fax:
1891413712 — RHOWENA ALONZO AMURAO DPT
Practice Location Address:
17119 HILLSIDE AVE
JAMAICA, NY
11432-4548
Practice Phone: 718-400-7000
Practice Fax: 718-400-7001

Directions to “ EVANGELINE MERCADO GONZAL DPT” 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.