| Laurie D Gilkes Lcsw Pc | |
|
330 E 79th St Suite 1g New York NY 10075-0966 | |
| (212) 737-0560 | |
| (212) 737-0560 |
| Full Name | Laurie D Gilkes Lcsw Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 330 E 79th St, New York, New York |
| Authorized Official Name and Position | Laurie D Gilkes (PRESIDENT) |
| Authorized Official Contact | 2127370560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie D Gilkes Lcsw Pc 330 E 79th St Suite 1g New York NY 10075-0966 Ph: (212) 737-0560 | Laurie D Gilkes Lcsw Pc 330 E 79th St Suite 1g New York NY 10075-0966 Ph: (212) 737-0560 |
| NPI Number | 1003092958 |
|---|---|
| Provider Enumeration Date | 01/10/2008 |
| Last Update Date | 05/07/2009 |
| Medicare PECOS PAC ID | 6305994070 |
|---|---|
| Medicare Enrollment ID | O20090507000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003092958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PR012668-1 (New York) | Primary |
| Provider Name | Laurie D Gilkes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871590034 PECOS PAC ID: 1052225968 Enrollment ID: I20031114000648 |
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