Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003310871 |
---|---|
Provider Name | Anthony Gonzales Unite |
First Address | Pittsburgh, PA 15240 |
Second Address | Pittsburgh, PA 15240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2018 |
Last Update Date | 19/03/2018 |