Victoria Eugenia Gonzalez

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

21 Shady LN
Coram, NY 11727-3718

Phone

(631) 559-2603

NPI assigned

Oct 1, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602288000000",
    "number": "1053918110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SHADY LN",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117273718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SHADY LN",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117273718",
            "telephone_number": "631-559-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "VICTORIA",
        "middle_name": "EUGENIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-10",
        "certification_date": "2020-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annamarie Goldblatt, PMHNP-BC
• Jeanette Gomez, L.P.N
• Katherine Gonzales
• George Gonzalez
• Lauren Mavis Gonzalez, M.A., SLP
• Ellen Gordon, LMSW
• Bronwyn Gorgone
• Georgina Graviano
• Robert Daniel Greenwald, LMT
• Bradley P Gross

• Massage Therapist in Coram, NY
• Providers in Coram, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.