FERMIN P GONZALEZ MD PC
NPI 1639377849
Clinic/Center - Adult Mental Health in Corona, NY

Active since July 10, 2007
102-11 ROOSEVELT AVE, CORONA, NY 11368(718) 898-5200(718) 898-3673 Get Directions Write a Review

NPPES record last updated: March 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2017, Dec 2, 2015 (2 updates tracked since 2015).

About Fermin P Gonzalez Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FERMIN P GONZALEZ MD PC (NPI 1639377849) is a healthcare organization registered as an adult mental health in Corona, New York and active in the NPI registry since July 2007. The organization lists Fermin P Gonzalez, Doctor, as its authorized official.

NPPES Registry Identity

NPI1639377849
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameFERMIN P GONZALEZ MD PC
Location Address102-11 ROOSEVELT AVECorona, NY 11368-2331
Mailing Address102-11 Roosevelt AveCorona, NY 11368-2331 · (718) 898-5200 · Fax (718) 898-3673
Fax(718) 898-3673
Organization SubpartNo
Authorized OfficialFermin P GonzalezDoctor · (718) 898-5200
Enumeration DateJuly 10, 2007
Last NPPES UpdateMarch 17, 20172 updates tracked since enumeration
NPI 1639377849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License Licensed in NY · 205495
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
102-11 ROOSEVELT AVE, Corona, NY 11368

Other Identifiers 1

Other205495NY · License

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
102-11 ROOSEVELT AVE
CORONA, NY 11368

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fermin P Gonzalez MD PC's NPI number?

The NPI number for Fermin P Gonzalez MD PC is 1639377849. It was assigned to this organization in the NPPES registry on July 10, 2007.

Where is Fermin P Gonzalez MD PC located?

Fermin P Gonzalez MD PC is located at 102-11 Roosevelt Ave, Corona, NY 11368. The listed phone number is (718) 898-5200.

What is Fermin P Gonzalez MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Fermin P Gonzalez MD PC was last updated on March 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.