Vigoda Gonzalez, Nicole

Vigoda Gonzalez, Nicole is an sole proprietor health care provider with primary practice located at 1 Hunter Ave , Armonk NY 10504-2025. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Vigoda Gonzalez, Nicole can be contacted via phone (646) 320-6055.

Contact Information

Primary practice address
1 Hunter Ave Armonk NY 10504-2025
Phone: (646) 320-6055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 022932 New York

Profile Details

NPI number 1639585276
LBN Legal business name Vigoda Gonzalez, Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2014
Last updated Nov 18th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639585276 NPPES
New York Other 022932 PROFESSIONAL LICENCE

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