| Gateway To Wellness, Lcsw, Pllc | |
|
111 Broadway Rm 905 New York NY 10006-2001 | |
| (646) 529-8776 | |
| Not Available |
| Full Name | Gateway To Wellness, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 111 Broadway Rm 905, New York, New York |
| Authorized Official Name and Position | John P Carnesecchi (FOUNDER & CLINICAL DIRECTOR, LCSW) |
| Authorized Official Contact | 8003334116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway To Wellness, Lcsw, Pllc 111 Broadway Rm 905 New York NY 10006-2001 Ph: (646) 529-8776 | Gateway To Wellness, Lcsw, Pllc 111 Broadway Rm 905 New York NY 10006-2001 Ph: (646) 529-8776 |
| NPI Number | 1124609870 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 04/15/2021 |
| Certification Date | 04/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124609870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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