Individual
MR. PEDRO MARIO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CTRS
Contact information
Practice address
2094 ALBANY POST RD, MONTROSE, NY 10548-1454
(914) 737-4400
Mailing address
703 SWAN HOLLOW RD, MONROE, NY 10950-5108
(516) 528-3222
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
13152
NY
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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