Individual
MR. LEONEL BRAZAO GONCALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
256 WASHINGTON ST, MOUNT VERNON, NY 10553-1052
(914) 613-0700
(914) 664-8189
Mailing address
256 WASHINGTON ST, MOUNT VERNON, NY 10553-1052
(914) 613-0700
(914) 664-8189
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
651292-1
NY
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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