Victor Alexander Gonzalez | New York, NY • PECOS Search

Victor Alexander Gonzalez

Counselor

Behavioral Health & Social Service Providers

49 W 24th St Ste 1002, New York, NY 10010-3543

PECOS Enrollment

Based on the most recent information from CMS, provider Victor Alexander Gonzalez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 9:42 AM.

Profile Details

Provider ID
1891289898
Provider Type
Individual
Full Name
Gonzalez, Victor Alexander
Title
Mr.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
6/21/2018
Last Updated
6/21/2018

Contact Information

Practice Location

49 W 24th St Ste 1002, New York, NY 10010-3543

Unlisted Fax

Mailing Location

405 E 16th St Apt 1d, Brooklyn, NY 11226-5646

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License P08610 New York