Individual
CERESA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1925 SCHIEFFELIN AVE, BRONX, NY 10466-5605
(718) 231-3400
Mailing address
750 TILDEN ST, BRONX, NY 10467-6013
(718) 231-3400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
102526
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141397918
—
NY
Enumeration date
12/07/2017
Last updated
12/07/2017
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