Individual
LUIS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
142 OSBORNE RD, ALBANY, NY 12205-1934
(978) 686-8202
Mailing address
142 OSBORNE RD, ALBANY, NY 12205-1934
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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