Doctor Name: | MR. ARAM FEDERICO GOMEZ |
NPI Number: | 1003283433 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, MHC |
License Number: | |
Business Practice Address: | 31 6th St Malone, NY - 129531246 |
Business Phone Number: | 5184833261 |
Business Fax Number: | 5188915851 |
Mailing Address: | 501 Brady Rd, MADRID |
State: | NY |
Postal Code: | 136603166 |
Phone Number: | 3153220322 |
Fax Number: | |
NPI Enumeration Date: | 09/02/2015 |
NPI Last Update Date: | 09/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |