Most Relevant Information
Provider Data
| NPI Number: | 1003671330 |
| Provider Name: | VANESSA GONZALEZ LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 121987-01 |
Most Important Dates
| Enumeration Date: | 02/15/2024 |
| Last Updated: | 03/08/2024 |
Provider Practice Location
13802 QUEENS BLVD
BRIARWOOD
NY
114352665
Practice Location Phone/Fax
| Phone: | 7182062000 |
| Fax: |
Provider Mailing Location
655 UNDERHILL AVE
BRONX
NY
104732925
Provider Mailing Phone/Fax
| Phone: | 3472604210 |
| Fax: |