| G S Psychotherapy Services Corp | |
|
1272 Richmond Rd Suite 3 Staten Island NY 10304-2304 | |
| (347) 441-3706 | |
| (347) 855-2591 |
| Full Name | G S Psychotherapy Services Corp |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1272 Richmond Rd, Staten Island, New York |
| Authorized Official Name and Position | Gilberto Suero (OWNER) |
| Authorized Official Contact | 3474413706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G S Psychotherapy Services Corp 1272 Richmond Rd Suite 3 Staten Island NY 10304-2304 Ph: (347) 441-3706 | G S Psychotherapy Services Corp 1272 Richmond Rd Suite 3 Staten Island NY 10304-2304 Ph: (347) 441-3706 |
| NPI Number | 1588114656 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 10/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588114656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 079954 (New York) | Primary |
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