Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LICELOT GONZALEZ, RBT
ActiveLICELOT GONZALEZ, RBT is a Specialist healthcare provider located in SECAUCUS, New Jersey. NPI 1912372426 is currently active in the NPPES registry. Verify at CMS.
Specialist · SECAUCUS, NJ
Registration Details
- NPI Number
- 1912372426
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 9, 2015 (10.493997303446 yrs)
- Last Updated
- May 8, 2016
Practice Information
- Address
-
600 MEADOWLANDS PKWYSUITE 142SECAUCUS, NJ, 070941633Browse NJ providers · Browse ZIP 07094
- Phone
- 2014467580
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in SECAUCUS, NJ
| Name | Credential | NPI |
|---|---|---|
| MICHAEL A ORTIZ | MD | 1073555918 |
| DR. RIAD AHMED KABAKIBI | M.D. | 1609896406 |
| ISSAM MOUDED | M.D. | 1629092218 |
| IRA D TANZER | M.D. | 1215080163 |
| MS. EUN YE YOO | M.D. | 1558481861 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.