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

Mrs. Lori Gonzalo, RPA-C

Individual provider Medical Physician Assistant · NPI 1639294002

Mrs. Lori Gonzalo, RPA-C is a Medical Physician Assistant in Staten Island, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

2071 Clove Rd Grasmere Medical Pavillion
Staten Island, NY 10304-1671
Phone: (718) 442-5550
Fax: (718) 556-3025
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 009282 (NY)

Record details

NPI number1639294002
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedMarch 21, 2007
Last updated in NPPESApril 29, 2009

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