Individual
MIGUEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
8115 164TH ST, JAMAICA, NY 11432-1118
(718) 380-3000
Mailing address
8913 138TH ST, JAMAICA, NY 11435-4154
(347) 858-2336
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
01/28/2025
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