Individual
ANA MARIA LEON GOMEZ MATUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSC
Contact information
Practice address
3636 33RD ST, SUITE 500, ASTORIA, NY 11106-2329
(718) 426-8110
Mailing address
5 GREAT JONES ST APT 9, NEW YORK, NY 10012-1157
(646) 626-9271
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P85280
NY
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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