Provider Demographics
NPI:1831507292
Name:FIGUEROA-GONZALEZ, GISELLE
Entity type:Individual
Prefix:
First Name:GISELLE
Middle Name:
Last Name:FIGUEROA-GONZALEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2965 E 196TH ST
Mailing Address - Street 2:APT. 3S
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-3805
Mailing Address - Country:US
Mailing Address - Phone:787-204-0777
Mailing Address - Fax:
Practice Address - Street 1:2965 E 196TH ST
Practice Address - Street 2:APT. 3S
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-3805
Practice Address - Country:US
Practice Address - Phone:787-204-0777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-30
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist