Gonzalez, Lissette

Gonzalez, Lissette is an individual health care provider with primary practice located at 3265 Johnson Ave Ste 105 , Bronx NY 10463-3539. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gonzalez, Lissette can be contacted via phone (917) 208-4093.

Contact Information

Primary practice address
3265 Johnson Ave Ste 105 Bronx NY 10463-3539
Phone: (917) 208-4093
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1053922666
LBN Legal business name Gonzalez, Lissette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2020
Last updated Aug 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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