Individual
KATHY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
256 WASHINGTON ST, MOUNT VERNON, NY 10553-1052
(914) 613-0700
Mailing address
22 SHERWOOD AVE # 2, YONKERS, NY 10704-2506
(914) 226-1943
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYPCPS-P-5624
NY
Other
Enumeration date
07/05/2024
Last updated
09/02/2024
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