MEDICARE: JOSE A. GONZALEZ DC PC

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	261Q00000X	Clinic/Center	XOO8699-1	NY

General Provider Information

NPI Number	:	1972815397
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSE A. GONZALEZ DC PC

Provider Business Mailing Address
First Line	:	7 MAYFIELD DR
Second Line	:
City	:	MASTIC BEACH
State	:	NY
Zip	:	11951-1704
Country	:	US
Telephone Number	:	631-219-1706
Fax Number	:	631-922-8878

Provider Business Practice Location Address
First Line	:	1805 5TH AVE
Second Line	:	SUITE 2
City	:	BAY SHORE
State	:	NY
Zip	:	11706-1761
Country	:	US
Telephone Number	:	631-219-1706
Fax Number	:	631-922-8878

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOSE A GONZALEZ
Credential	:	DC
Telephone Number	:	631-219-1706

Provider Enumeration Date	:	07/14/2010
Last Update Date	:	07/14/2010

Similar Medicare Providers

1659369783 — 5TH AVE DRUG, INC
Practice Location Address:

1805 5TH AVE , SUITE B
BAY SHORE, NY
11706-1761

Practice Phone: 631-231-4960
Practice Fax: 631-231-0368

1215053657 — RUBEN A LEON RPH
Practice Location Address:

1805 5TH AVE
BAY SHORE, NY
11706-1761

Practice Phone: 631-231-4960
Practice Fax:

1518143866 — LAWRENCE J ANCONA
Practice Location Address:

1805 5TH AVE
BAY SHORE, NY
11706-1761

Practice Phone: 631-231-4960
Practice Fax:

1083937684 — TOMAS DIAZ RPH
Practice Location Address:

1805 5TH AVE
BAY SHORE, NY
11706-1761

Practice Phone: 631-231-4960
Practice Fax: 631-980-4279

1770956880 — AADYA PHARMACY LLC
Practice Location Address:

1805 5TH AVE
BAY SHORE, NY
11706-1761

Practice Phone: 631-231-4960
Practice Fax: 631-231-0368

1821695834 — RYMAX ELECTRONICS INC
Practice Location Address:

1805 5TH AVE STE F
BAY SHORE, NY
11706-1761

Practice Phone: 631-630-8888
Practice Fax: 631-630-8896

Directions to “JOSE A. GONZALEZ DC PC ” 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.