Martha Gonzalez | Staten Island, NY • PECOS Search

Martha Gonzalez

Social Worker

Behavioral Health & Social Service Providers

475 Bay St, Staten Island, NY 10304-3228

PECOS Enrollment

Based on the most recent information from CMS, provider Martha 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 34 days ago.

Profile Details

Provider ID
1932987815
Provider Type
Individual
Full Name
Gonzalez, Martha
Gender
Female

Sole Proprietor
Yes
Enumeration Date
9/20/2023
Last Updated
11/21/2025

Contact Information

Practice Location

475 Bay St, Staten Island, NY 10304-3228

Unlisted Fax

Mailing Location

475 Bay St, Staten Island, NY 10304-3228

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 127380 New York