Catherine Gonzalez, RN

Individual provider Active NPI Registered Nurse · West Falls, NY

NPI 1104488022 · NPPES record last updated Jul 1, 2019

Key facts

NPI
1104488022
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
501700-1 (NY)
Practice address
1038 Davis Rd
West Falls, NY 14170-9781
Phone
(716) 655-8776
Fax
(716) 655-7877
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
501700-1NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Nursing Care L.L.C. Past Accepting new patients
Independent Nursing Care L.L.C Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 501700-1 NY Yes

Addresses

Primary practice location

1038 Davis Rd
West Falls, NY 14170-9781

Mailing address

PO Box 489
West Falls, NY 14170-0489
Phone (716) 655-8776

Other providers in West Falls, NY

All providers in West Falls, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.