| Winston Gold Llc | |
|
108 Crestview Pl Ardsley NY 10502-1604 | |
| (914) 674-0409 | |
| (914) 674-8458 |
| Full Name | Winston Gold Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 108 Crestview Pl, Ardsley, New York |
| Authorized Official Name and Position | Larrie Gold (OWNER) |
| Authorized Official Contact | 9146740409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winston Gold Llc 108 Crestview Pl Ardsley NY 10502-1604 Ph: (914) 674-0409 | Winston Gold Llc 108 Crestview Pl Ardsley NY 10502-1604 Ph: (914) 674-0409 |
| NPI Number | 1356609283 |
|---|---|
| Provider Enumeration Date | 04/29/2012 |
| Last Update Date | 04/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356609283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R24523 (New York) | Primary |
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