Nelly Gonzalez-Lepage, MD, MBA
Psychiatry & Neurology, Psychiatry in New York, NY. Individual provider (NPI-1).
NPI number1679100366
StatusActive
Last updated in NPPESJun 18, 2024
Details
- NPI
- 1679100366
- Entity type
- Individual (NPI-1)
- Name
- Nelly Gonzalez-Lepage
- Credential
- MD, MBA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2020
- Certification date
- Jun 18, 2024
- Last updated
- Jun 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 320608 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1 Park Ave Fl 7New York, NY 10016-5818
Phone 646-754-5000
Mailing address
1 Park Ave Fl 7New York, NY 10016-5818
Phone 646-754-5000
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