Individual
ANTONIO GONZALEZ LORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
021452
NY
103TC0700X
Clinical Psychologist
Primary
021452
NY
Other
Enumeration date
05/20/2009
Last updated
01/20/2026
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