IndividualActive
Katherine Gonzales
NPI 1275995995 · Specialist · Coram, NY
Katherine Gonzales is a Specialist provider in Coram, NY (NPI 1275995995).
Provider details
- NPI number
- 1275995995
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1185922 (NY)
Practice location
60 Wellsley Ln
Coram, NY 11727-1013
Phone: (631) 885-0097
Street-level locationGet directions
Mailing address
60 Wellsley Ln
Coram, NY 11727-1013
Registry dates
- Enumerated
- 2016-03-22
- Last updated
- 2016-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.