| Dr Anthony Gaudioso, LMHC, NCC, PHD | |
|
695 Buck Rd, Stone Ridge, NY 12484-5500 | |
| (212) 729-1450 | |
| Not Available |
| Full Name | Dr Anthony Gaudioso |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 695 Buck Rd, Stone Ridge, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083684096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 000464 (New York) | Primary |
| Entity Name | Anthony Gaudioso, Ph.d, Licensed Mental Health Counselor, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376788604 PECOS PAC ID: 8123471034 Enrollment ID: O20240126003005 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anthony Gaudioso, LMHC, NCC, PHD 695 Buck Rd, Stone Ridge, NY 12484-5500 Ph: (212) 729-1450 | Dr Anthony Gaudioso, LMHC, NCC, PHD 695 Buck Rd, Stone Ridge, NY 12484-5500 Ph: (212) 729-1450 |
Deirdre Malinske, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 252 Vly Atwood Rd, Stone Ridge, NY 12484 Phone: 845-419-8315 | |
Sara Hutton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3780 Main St, Stone Ridge, NY 12484 Phone: 845-243-7789 | |
Ms. Susan Karl, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 85 Schoonmaker Ln, Stone Ridge, NY 12484 Phone: 845-687-7552 | |
Christopher Mark Chamberlin, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4590 Atwood Rd, Stone Ridge, NY 12484 Phone: 215-584-7083 |