Gonzalez-Vazquez, Melissa Sue

Gonzalez-Vazquez, Melissa Sue is an sole proprietor health care provider with primary practice located at 113 Glen Cove Ave , Glen Cove NY 11542-3438. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Gonzalez-Vazquez, Melissa Sue can be contacted via phone (516) 676-2388.

Contact Information

Primary practice address
113 Glen Cove Ave Glen Cove NY 11542-3438
Phone: (516) 676-2388
Fax: (516) 759-5259
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 21412 New York

Profile Details

NPI number 1720294416
LBN Legal business name Gonzalez-Vazquez, Melissa Sue
Credentials MSW,CASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated Apr 6th, 2011 - about 15 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