Individual
CORINA PEGUERO-GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
733 3RD AVE, NEW YORK, NY 10017-3204
(646) 450-3064
Mailing address
52 JAMES WILKINSON RD, ROCK TAVERN, NY 12575-5321
(914) 819-3308
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
015481
NY
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/12/2022
Last updated
01/21/2025
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