Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

George Gonzalez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578185443

George Gonzalez is a Student in an Organized Health Care Education/Training Program in Coram, New York. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

3600 Route 112
Coram, NY 11727-4116
Phone: (631) 920-8302
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1578185443
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 13, 2020
Last updated in NPPESMay 13, 2020
Certification dateMay 13, 2020
Mailing address14202 20th Ave, Flushing, NY 11351-3000

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