MRS. LORI GONZALO RPA-C NPI 1639294002

NPI Information

NPI: 1639294002
Provider Name: MRS. LORI GONZALO, RPA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
2071 CLOVE RD
GRASMERE MEDICAL PAVILLION
STATEN ISLAND, NY
ZIP 10304
Phone: (718) 442-5550
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MRS. Lori Gonzalo, RPA-C is a medical physician assistant in Staten Island, NY. MRS. Lori Gonzalo, RPA-C NPI is 1639294002. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2071 CLOVE RD
GRASMERE MEDICAL PAVILLION
STATEN ISLAND, NY
ZIP 10304-671
Phone: (718) 442-5550
Fax: (718) 556-3025

The enumeration date for this NPI number is 3/21/2007 and was last updated on 4/29/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	009282	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A400003862	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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