Provider Demographics
NPI:1891941183
Name:GONZALEZ-LAMOS, RAFAELA (MD)
Entity Type:Individual
Prefix:
First Name:RAFAELA
Middle Name:
Last Name:GONZALEZ-LAMOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 W. BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-3500
Mailing Address - Country:US
Mailing Address - Phone:294-409-4009
Mailing Address - Fax:646-967-4200
Practice Address - Street 1:1329 W. BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-3500
Practice Address - Country:US
Practice Address - Phone:929-440-9400
Practice Address - Fax:646-967-4200
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY249690207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY249690OtherLICENSE