Gonzalez, Richard

Gonzalez, Richard is an sole proprietor health care provider with primary practice located at 1444 5Th Ave , Bay Shore NY 11706-4147. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gonzalez, Richard can be contacted via phone (631) 647-3100.

Contact Information

Primary practice address
1444 5Th Ave Bay Shore NY 11706-4147
Phone: (631) 647-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1144855867
LBN Legal business name Gonzalez, Richard
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2020
Last updated Mar 4th, 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.

Request for update

Popular Providers