FORT WASHINGTON MEDICAL OFFICE PC
Managed Care Organizations at Fort Washington Ave, New York, NY

License number
New York 229968
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: DR. FAUSTO A GONZALEZ MD
Title: PARTNER/OWNER
Phone: (212) 927-0013
Address
Address
66 Fort Washington Ave, New York, NY 10032
National Provider ID: 1205870078
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FORT WASHINGTON MEDICAL OFFICE, PC

66 Ft Washington Ave, New York, NY 10032

Industry:
Help Supply Services
Doing business as:
Fort Washington Medical Office, .P.C
Registration:
Nov 29, 2004
Phone:
(212) 927-0013 (Phone)
State ID:
3131079
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Internal Medicine, Obstetricians:
Fausto A Gonzalez (Medical Doctor, Partner), 66 Ft Washington Ave, New York, NY 10032 (Physical),Luis Vasquez (President, Cardiology, Physician Assistant),Ursy Menoza (Offc Asst),...

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