MEDICARE: TRI CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1073466132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRI CENTER, INC.

Provider Business Mailing Address
First Line	:	175 REMSEN ST FL 11
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-4333
Country	:	US
Telephone Number	:	718-858-4050
Fax Number	:

Provider Business Practice Location Address
First Line	:	175 REMSEN ST FL 11
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-4333
Country	:	US
Telephone Number	:	718-858-4050
Fax Number	:

Authorized Official
Title or Position	:	LISCENCED SOCIAL WORKER/CEO
Name	:	JOSE GONZALEZ JR.
Credential	:	LCSW
Telephone Number	:	212-268-8830

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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