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

Mr. Keith V Gonzalez, RN

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1114752094

Mr. Keith V Gonzalez, RN is a Psychiatric/Mental Health Registered Nurse in Syracuse, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

61 Sequoia Dr Apt 3
Syracuse, NY 13215-1621
Phone: (305) 910-9361
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 872485 (NY)

Record details

NPI number1114752094
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedSeptember 3, 2024
Last updated in NPPESSeptember 3, 2024
Certification dateAugust 10, 2024
Mailing address61 Sequoia Dr Apt 3, Syracuse, NY 13215-1621

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