Individual
ANAXIMENES GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
790 PARK AVE, HUNTINGTON, NY 11743-4516
(631) 427-3700
Mailing address
790 PARK AVE, HUNTINGTON, NY 11743-4516
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
663336
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
408096
NY
Other
Enumeration date
01/21/2019
Last updated
01/29/2026
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