Ms Melissa Sue Gonzalez-vazquez, MSW,CASAC is a
Counselor - Addiction (substance Use Disorder) based in Glen Cove, New York. Ms Melissa Sue Gonzalez-vazquez is licensed to practice in New York (license number 21412) and her current practice location is
113 Glen Cove Ave, Glen Cove, New York. She can be reached at her office (for appointments etc.) via phone at
(516) 676-2388.
NPI number for Ms Melissa Sue Gonzalez-vazquez is 1720294416 and her current mailing address is 1025 Merillon Ave, Westbury, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720294416.
Healthcare Provider's Profile
| Full Name | Ms Melissa Sue Gonzalez-vazquez |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 113 Glen Cove Ave, Glen Cove, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720294416
- Provider Enumeration Date: 05/16/2007
- Last Update Date: 04/06/2011
Medical Identifiers
Medical identifiers for Ms Melissa Sue Gonzalez-vazquez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720294416 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 21412 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Melissa Sue Gonzalez-vazquez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Melissa Sue Gonzalez-vazquez, MSW,CASAC
1025 Merillon Ave,
Westbury, NY 11590-5519
Ph: (516) 676-2388 | Ms Melissa Sue Gonzalez-vazquez, MSW,CASAC
113 Glen Cove Ave,
Glen Cove, NY 11542-3438
Ph: (516) 676-2388 |
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