Individual
DENISSE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 W 19TH ST APT 14C, NEW YORK, NY 10011-3834
(917) 250-7645
Mailing address
420 W 19TH ST APT 14C, NEW YORK, NY 10011-3834
(917) 250-7645
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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