Individual
EDWIN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 MANHATTAN AVE APT 4B, BROOKLYN, NY 11206-3149
(347) 204-5807
Mailing address
50 MANHATTAN AVE APT 4B, BROOKLYN, NY 11206-3149
(347) 204-5807
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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