Healthcare Provider Details

I. General information

NPI: 1760397400
Provider Name (Legal Business Name): ALIANA GONZALEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALIANA GONZALEZ CACHO

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 STATION PLZ N STE 350A
MINEOLA NY
11501-3814
US

IV. Provider business mailing address

130 HOPE ST APT 616
BROOKLYN NY
11211-6082
US

V. Phone/Fax

Practice location:
  • Phone: 516-663-2691
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number028341
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: