Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0208X | Pediatric Infectious Diseases | 289909 | NY |
Y | 2080P0208X | Pediatric Infectious Diseases | 289909-1 | NY |
NPI | 1083021802 |
---|---|
Provider Name | Francisco Javier Gonzalez Salazar |
First Address | Brooklyn, NY 11217-9196 |
Second Address | Brooklyn, NY 11201-5425 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2014 |
Last Update Date | 27/10/2020 |