Elie R Gonzales MD

NPI #1841309945 in Oswego, New York

Provider Information

NPI Number: 1841309945
Entity Type: Organization
Organization Name: Elie R Gonzales MD
Primary Specialty: Pediatrics
Enumeration Date: Aug 30, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 38 ERIE ST
City: Oswego
State: New York
ZIP Code: 13126-3803
Phone: (315) 342-4217

Authorized Official

Name: ELIE R GONZALES, MD
Title: OWNER
Phone: (315) 342-4217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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