Lori Gonzalo is a Medical in Staten Island, New York. Lori Gonzalo practices all healthcare services and medical treatments related to Medical. The NPI Number for Lori Gonzalo is 1639294002. The last update date is 2009-04-29.
Lori Gonzalo's current location address is 20 Emily Ct, Staten Island, New York. You can contact this provider via phone number 7189661784 and fax number 7189661969. The mailing address for Lori Gonzalo is 20 Emily Ct, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lori Gonzalo |
|---|---|
| Address | 20 Emily Ct, Staten Island, New York |
| Phone Number | 7189661784 |
| Fax Number | 7189661969 |
| Sole Proprietor | N |
| Credentials | RPA-C |
NPI Number Detail
| NPI Number | 1639294002 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2009-04-29 |
Provider Mailing Address Detail
| Address | 20 Emily Ct |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103072087 |
| Phone Number | 7189661784 |
| Fax Number | 7189661969 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 9282 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the Lori Gonzalo's 1639294002?
The Lori Gonzalo's NPI (National Provider Identifier) Number is 1639294002. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lori Gonzalo?
The Lori Gonzalo is physically situated at 20 Emily Ct, in the city of Staten Island, state of NY, with the postal code 103072087.
What is Lori Gonzalo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lori Gonzalo is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639294002 to Lori Gonzalo?
The Centers for Medicare & Medicaid Services originally issued the 1639294002 to Lori Gonzalo on 2007-03-21.
When was the information pertaining to Lori Gonzalo most recently updated or revised?
The details related to Lori Gonzalo, including its address, specialty, and other relevant information, were last updated or revised on 2009-04-29.
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