Individual
DR. GONZALO ALBERTO VAZQUEZ-CASALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
101 SAINT ANDREWS LN, BRAIN INJURY UNIT, GLEN COVE, NY 11542-2254
(516) 674-1739
(516) 674-1711
Mailing address
101 SAINT ANDREWS LN, BRAIN INJURY UNIT, GLEN COVE, NY 11542-2254
(516) 674-1739
(516) 674-1711
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0159541
NY
Other
Enumeration date
05/08/2006
Last updated
01/28/2015
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