Individual
IVETTE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
328 E 62ND ST, NEW YORK, NY 10065-8206
(212) 752-7575
(212) 319-0829
Mailing address
8021 N FM 620, APT # 1434, AUSTIN, TX 78726-4540
(512) 551-9255
(512) 551-9255
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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