Provider Demographics
NPI:1164385282
Name:EREZ, GON RON
Entity type:Individual
Prefix:
First Name:GON
Middle Name:RON
Last Name:EREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3955 EUCLID AVE
Mailing Address - Street 2:JANE EDNA HUNTER BUILDING, RM. 320-E
Mailing Address - City:CLEVELAN
Mailing Address - State:OH
Mailing Address - Zip Code:44115
Mailing Address - Country:US
Mailing Address - Phone:216-432-3334
Mailing Address - Fax:216-420-0556
Practice Address - Street 1:3955 EUCLID AVE
Practice Address - Street 2:JANE EDNA HUNTER BUILDING, RM. 320-E
Practice Address - City:CLEVELAN
Practice Address - State:OH
Practice Address - Zip Code:44115
Practice Address - Country:US
Practice Address - Phone:216-432-3334
Practice Address - Fax:216-420-0556
Is Sole Proprietor?:No
Enumeration Date:2025-12-05
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker