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Organization
MSG
Active
Organization
MSG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL STEVEN GONZALEZ LCSW (MENTAL HEALTH THERAPIST)
(646) 338-2133
Entity
Organization
Contact information
Practice address
2850 CLAFLIN AVE APT 602, BRONX, NY 10468-2228
(646) 338-2133
Mailing address
234 EVERETT PL, ENGLEWOOD, NJ 07631-1660
(646) 338-2133
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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