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Individual

MONICA GONZALEZ - MONTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1765 SOUTH AVE, STATEN ISLAND, NY 10314-3604
(718) 698-5307
Mailing address
1765 SOUTH AVE, STATEN ISLAND, NY 10314-3604
(718) 698-5307

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6258471
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6258471
PRIVATE PLAN
PR
Enumeration date
09/20/2019
Last updated
09/20/2019
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