| Gs Institute Inc | |
|
4419 Rockaway Beach Blvd Far Rockaway NY 11691-1232 | |
| (516) 924-7907 | |
| Not Available |
| Full Name | Gs Institute Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4419 Rockaway Beach Blvd, Far Rockaway, New York |
| Authorized Official Name and Position | Goddess Stallings (OWNER) |
| Authorized Official Contact | 5169247907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gs Institute Inc 1250 Waterview Street Far Rockaway NY 11691 Ph: (516) 924-7907 | Gs Institute Inc 4419 Rockaway Beach Blvd Far Rockaway NY 11691-1232 Ph: (516) 924-7907 |
| NPI Number | 1841798774 |
|---|---|
| Provider Enumeration Date | 01/25/2018 |
| Last Update Date | 03/14/2023 |
| Certification Date | 03/14/2023 |
| Medicare PECOS PAC ID | 5092169938 |
|---|---|
| Medicare Enrollment ID | O20230927001161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841798774 | NPI | - | NPPES |
| 252485 | Other | NY | NYS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Carrol T Longshore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578649786 PECOS PAC ID: 3870778137 Enrollment ID: I20150625001686 |
| Provider Name | Christiane R Lataillade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174119929 PECOS PAC ID: 6305233826 Enrollment ID: I20220429001910 |
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