Individual
KENNY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 W KINGSBRIDGE RD # 3B-05, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
130 W KINGSBRIDGE RD # 3B-05, BRONX, NY 10468-3904
(718) 584-9000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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