Individual
ANDREA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC, SLP
Contact information
Practice address
2465 BATHGATE AVE, BRONX, NY 10458-5928
(718) 367-5917
Mailing address
855 E 233RD ST, 6J, BRONX, NY 10466-3214
(718) 994-9989
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014324-1
NY
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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