Elie R Gonzales MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

ELIE R GONZALES MD

Practice address

38 Erie St
Oswego, NY 13126-3803

Phone

(315) 342-4217

Fax

(315) 342-7205

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Elie R Gonzales, MD

Title

Owner

Phone

(315) 342-4217

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841309945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134130340",
            "telephone_number": "315-732-9368",
            "fax_number": "315-732-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 ERIE ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263803",
            "telephone_number": "315-342-4217",
            "fax_number": "315-342-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIE R GONZALES MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "ELIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-342-4217",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Philip-Issiah Edwards
• Merry E Egan, FNP
• Niomi Sue Eipp, PT,DPT
• Edgar Ufuoma Ekure, O.D
• Kelly Marie Elen, LMHC
• Elizabeth Jane Elliott, MS, OTR/L
• Michael Thomas Ellis, DPT
• Aliza Ellner, CF-SLP
• Jerry Robert Emmons, M.D.
• Empire Vision Center Inc

• Pediatrics Physician in Oswego, NY
• Providers in Oswego, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.