Organization
WELLNESS CENTER PSYCHOLOGIST ADRIANA L GONZALEZ PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIANA LAURA GONZALEZ PH.D. (PSYCHOLOGIST)
(917) 596-0076
Entity
Organization
Contact information
Practice address
2415 21ST AVE, APARTMENT 2C, ASTORIA, NY 11105-3344
(917) 596-0076
Mailing address
2123 21ST AVE, ASTORIA, NY 11105-4343
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
019350
NY
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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