National Provider Identifier
Craig Gonzales SR.
Craig Gonzales SR. is listed in the NPPES registry with a primary specialty of Massage Therapist in Lewiston, NY and a listed phone number of (716) 754-8966.
Profile Overview
- NPI
- 1215126164
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- October 16, 2007
- Last Updated
- October 16, 2007
Practice Location
- 534 Center St
- Lewiston, NY 14092-1608
Phone: (716) 754-8966
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1215126164
- Entity Type
- Individual
- Last Name
- Gonzales
- First Name
- Craig
- Name Suffix
- SR.
- Mailing Street Address
- 534 Center St
- Mailing City
- Lewiston
- Mailing State
- NY
- Mailing ZIP Code
- 14092-1608
- Mailing Country
- US
- Mailing Phone
- (716) 754-8966
- Practice Street Address
- 534 Center St
- Practice City
- Lewiston
- Practice State
- NY
- Practice ZIP Code
- 14092-1608
- Practice Country
- US
- Practice Phone
- (716) 754-8966
- Enumeration Date
- October 16, 2007
- Last Updated
- October 16, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)