Individual
DR. JAIRO A. GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
345 7TH AVE, RM 1601J, NEW YORK, NY 10001-5006
(917) 740-4440
Mailing address
345 7TH AVE, RM 1601J, NEW YORK, NY 10001-5006
(917) 740-4440
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
023716
NY
103TC0700X
Clinical Psychologist
Primary
023716
NY
Other
Enumeration date
07/26/2016
Last updated
09/13/2021
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