Shanna Gonzalez's National Provider Identifier (NPI) Details
Shanna Gonzalez, LMSW
NPI: 1265828933
Enumeration Date: 2015-04-09
Last updated: 2015-04-09
Sole Proprietor: NO
Status: active
Postal Address: 939 JOHNSON AVE, RONKONKOMA, NY
Phone: 631-471-7242
Primary Practice Address: 939 JOHNSON AVE, RONKONKOMA, NY
Practice's phone: 631-471-7242