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Contact Information

LEANNE GONZALEZ, PA
5503 MYRTLE AVE
RIDGEWOOD, NY11385-3550
 Phone: 631-574-2060
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LEANNE GONZALEZ · (Female)

NPI # 1518629799
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 10/06/2021
Last updated 02/03/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 027914
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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