Individual
ELYANA MARISSA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 MAIN AVE, CLIFTON, NJ 07011-2333
(201) 344-2499
Mailing address
125 BELMAR TER, WESTFIELD, NJ 07090-2247
(516) 524-0817
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
026223
NY
225X00000X
Occupational Therapist
46TR01119700
NJ
Other
Enumeration date
12/08/2021
Last updated
02/09/2024
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