CORINA GONZALES


Address: 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074
Phone: 5183483176

CORINA GONZALES (NPI# 1770718793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770718793
Entity Type Individual
Full Name CORINA GONZALES
Credential MD
Practice Address 1205 Troy Schenectady Rd Ste 101
Latham
NY 12110-1074
Mailing Address 407 Albany Shaker Rd Ste 100
Loudonville
NY 12211-1902
Practice Telephone 5183483176
Mailing Telephone 5184351300
Mailing Fax Number 5184351397
Enumeration Date 2009-05-19
Last Update Date 2019-12-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 273008 NY Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 047671 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 03748336 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
407 Albany Shaker Rd Ste 100, Loudonville, NY 122111902 5184351300 5184351397

Office Location

Street Address 1205 TROY SCHENECTADY RD STE 101
City LATHAM
State NY
Zip Code 12110-1074

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215926977 Heidi Jane Rasmussen Family Medicine 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 2005-10-17
1669084703 Lashondia Sheree Adams Psychiatry & Neurology 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 2020-08-19
1982240339 Andrea Guthorn Nurse Practitioner 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 2019-11-20
1518449677 Kathleen M Ryan Nurse Practitioner 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 2018-09-05
1659891810 Katie Suzanne Tafur Nurse Practitioner 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 2017-06-20
1427507284 Sachmarie Crowley Nurse Practitioner 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 2016-09-22
1497201511 Portia O Davis Nurse Practitioner 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 2016-08-29
1538521380 Jon Edward Streeter Physician Assistant 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 2016-03-22
1568846806 Catherine A Lesson Nurse Practitioner 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 2015-07-16
1003297599 Ashleigh Berger Registered Nurse 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 2015-06-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154963973 Bayley Archinal Physical Therapist 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 2019-10-14
1114410701 Kimberly A. Hostig Licensed Clinical Social Worker Pllc Clinic/Center 8 Stanley Cir Ste 11, Latham, NY 12110 2018-06-08
1710477260 Colleen Phillips Physical Therapist 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 2018-05-10
1528574779 Deborah Cannon Specialist 33c Waterford Avenue East, Latham, NY 12110 2017-12-26
1730600149 Michael Navarrete Dentist 231 Wade Road Ext Unit 101, Latham, NY 12110 2017-07-06
1316499452 Colonie Asc LLC Clinic/Center 207 Troy-schenectady Rd, Colonie, NY 12110 2016-10-25
1720539950 Tania M Durante Pharmacist 1057 Troy-schenectady Rd, Latham, NY 12110 2016-10-24
1417344987 New York Epilepsy Medicine, PC Clinic/Center 3 Lear Jet Ln Ste 203, Latham, NY 12110 2015-04-22
1346664752 Lauren Gannon Registered Nurse 95 Forts Ferry Road, Latham, NY 12110 2014-02-06
1649522756 Natasha Kapsaroff-ruiz Nurse Practitioner 654 Watervliet Shaker Rd, Latham, NY 12110 2012-10-12
Find all providers in zip 12110

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063704211 Patricia V. Saunders Md, Pllc Internal Medicine 506 Watervliet Shaker Rd, Latham, NY 12110-4635 2011-05-06
1386711612 Jose F Nebres Internal Medicine 15 Fox Run, Latham, NY 12110 2006-11-30
1073693032 Nita Parikh Internal Medicine Crhp-711 Troy-schenectady Rd, Suite 104, Latham, NY 12110 2006-10-16
1831203991 Warren Silverman Internal Medicine 776a Watervliet Shaker Rd, Latham, NY 12110-2209 2006-08-18
1205818911 Dastagir Alam Khan Internal Medicine 27 Dyke Rd, Latham, NY 12110-1237 2005-11-17
1730172628 Hamish Alistair Kerr Internal Medicine 724 Watervliet Shaker Rd, Latham, NY 12110-3528 2005-08-25
1467444554 Kimberly A Peregrim Internal Medicine 711 Troy Schenectady Rd Ste 104, Latham, NY 12110-2454 2005-08-16
1336146364 William J Feeney Internal Medicine 582 New Loudon Rd, Latham, NY 12110-4029 2005-07-05
1871837088 Albany Medical College Internal Medicine 724 Watervliet Shaker Rd, Latham, NY 12110-3528 2012-11-15
1760743777 Disha Chhabra Spath Internal Medicine 711 Troy Schenectady Rd Ste 104, Latham, NY 12110-2454 2012-06-06
Find all providers in LATHAM

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City LATHAM
Zip Code 12110

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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