GEORGE GONZALEZ (NPI# 1578185443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578185443 |
| Entity Type | Individual |
| Full Name | GEORGE GONZALEZ |
| Practice Address |
3600 Route 112 Coram NY 11727-4116 |
| Mailing Address |
14202 20th Ave Flushing NY 11351-3000 |
| Practice Telephone | 6319208302 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508095167 | George Gonzalez Jr. | Military Health Care Provider | Psc, Unit 4709, Apo, AE 09459-9998 | 2009-07-03 |
| 1306059696 | George A Gonzalez | Marriage & Family Therapist | 1313 W Buchanan St, Harlingen, TX 78550-6221 | 2007-05-07 |
| 1619029287 | George Gonzalez | Psychiatry & Neurology | 131 Old Road To 9 Acre Cor, John Cuming Building, Concord, MA 01742-4181 | 2007-01-17 |
| 1588683585 | George Daniel Gonzalez | Radiology | 444 Clinchfield Street, Suite 2900, Kingsport, TN 37660 | 2006-07-19 |
| 1114906484 | George Andrew Gonzalez | Dentist | 9600 Veterans Dr Sw, American Lake Vamc (a-112-dent), Tacoma, WA 98493-0003 | 2006-01-13 |
| 1992786487 | George Gonzalez | Family Medicine | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2005-11-10 |
| Street Address |
3600 ROUTE 112 |
| City | CORAM |
| State | NY |
| Zip Code | 11727-4116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417083973 | Mary Ringlen | Social Worker | 3600 Route 112, Coram, NY 11727-4116 | 2007-02-26 |
| 1760081277 | Ally Danielle Liff | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-10-26 |
| 1407456940 | Imani Alexia Nunez | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-10-26 |
| 1174137038 | Jennifer Stosch | Social Worker | 3600 Route 112, Coram, NY 11727-4116 | 2020-09-08 |
| 1144834979 | Christina Cona | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-08-31 |
| 1225648033 | Brianna Gallina | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-08-06 |
| 1871119750 | Michele Piediscalzo | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-06-17 |
| 1235755117 | Justine Biscardi | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-06-17 |
| 1992321889 | Andy Melendez | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-06-17 |
| 1740804426 | Jaclynn Paduano | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649891490 | Ocean Acupuncture PC | Acupuncturist | 1970-6, Coram, NY 11727 | 2020-05-04 |
| 1982254058 | Lynanne Helen Bopp | Student in an Organized Health Care Education/Training Program | 3600 Ny- 112, Coram, NY 11727 | 2019-09-19 |
| 1427604206 | Embrace Your Energy, LLC | Specialist/Technologist | 300 Wincoram Way, Coram, NY 11727 | 2019-08-16 |
| 1457842247 | Hina Ghani | Pharmacist | 1710 Ny-112, Coram, NY 11727 | 2018-05-29 |
| 1093219636 | James Brian Rochford Jr. | Social Worker | 1980 Ny Route 112, Coram, NY 11727 | 2018-03-20 |
| 1902324502 | Shanell Lovette Woodley | Registered Nurse | Country Club Drive, Apt 10 D, Coram, NY 11727 | 2017-09-03 |
| 1730606377 | Emani, Inc. | Respite Care | 5 Hagen Ct., Coram, NY 11727 | 2017-08-24 |
| 1124553292 | Zhimin Lin | Dentist | 1879 Ny-112, Coram, NY 11727 | 2017-04-26 |
| 1780125286 | Jennifer Zielinski | Specialist | 18 Cammann Road, Coram, NY 11727 | 2017-03-16 |
| 1194271486 | Kimberly Kowalczyk | Psychologist | 28 Hawkins Path, Coram, NY 11727 | 2016-08-28 |
| Find all providers in zip 11727 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295354744 | Susana Barros-sierra | Student in an Organized Health Care Education/Training Program | 60 Chardonnay Dr, Coram, NY 11727-2433 | 2020-04-14 |
| 1982254058 | Lynanne Helen Bopp | Student in an Organized Health Care Education/Training Program | 3600 Ny- 112, Coram, NY 11727 | 2019-09-19 |
| 1215330717 | Hyon Bae | Student in an Organized Health Care Education/Training Program | 3600 Rte 112, Coram, NY 11727 | 2014-09-29 |
| 1073871430 | Anastasia Plaunova | Student in an Organized Health Care Education/Training Program | 21 Country Club Dr, Apt. I, Coram, NY 11727-3416 | 2012-04-24 |
| 1093080236 | Laura Cheney | Student in an Organized Health Care Education/Training Program | 19 Country Club Dr, Apt B, Coram, NY 11727-3414 | 2012-03-21 |
| 1487850251 | Stony Brook University Medical Center | Student in an Organized Health Care Education/Training Program | 2428 Avalon Pines Dr, Coram, NY 11727-5169 | 2007-06-26 |
| 1760081277 | Ally Danielle Liff | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-10-26 |
| 1407456940 | Imani Alexia Nunez | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-10-26 |
| 1508465469 | Toni Deleonardis | Student in an Organized Health Care Education/Training Program | 7 Hayes Ln, Coram, NY 11727-3081 | 2020-10-21 |
| 1144834979 | Christina Cona | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-08-31 |
| Find all providers in CORAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.