Individual
MISS KATHERINE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 121 W 124TH STREET, NEW YORK, NY 10027
(212) 932-2676
Mailing address
22 CHAPEL ST, BROOKLYN, NY 11201-1903
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
859007
NY
Other
Enumeration date
12/06/2018
Last updated
10/12/2022
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