Individual
SHANTAL GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
529 COURTLANDT AVE, BRONX, NY 10451-5007
(718) 993-7700
Mailing address
1756 UNDERCLIFF AVE APT 1, BRONX, NY 10453-6742
(917) 407-0617
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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