National Provider Identifier
Jason Matthew Gonzalez, D.O.
Jason Matthew Gonzalez, D.O. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Elmira, NY and a listed phone number of (607) 737-7770.
Profile Overview
- NPI
- 1700049814
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- July 08, 2008
- Last Updated
- June 10, 2016
Practice Location
- 600 Roe Ave
- Elmira, NY 14905-1629
Phone: (607) 737-7770
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Internal Medicine Physician (207R00000X)
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1700049814
- Entity Type
- Individual
- Last Name
- Gonzalez
- First Name
- Jason
- Middle Name
- Matthew
- Name Prefix
- Dr.
- Credential
- D.O.
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Practice Street Address
- 600 Roe Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1629
- Practice Country
- US
- Practice Phone
- (607) 737-7770
- Practice Fax
- (607) 271-3686
- Enumeration Date
- July 08, 2008
- Last Updated
- June 10, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Internal Medicine Physician (207R00000X)
- Other Identifiers
- 102786604 (PA), 03406824 (NY)