| Gateway Community Industries, Inc | |
|
1 Amy Kay Pkwy Kingston NY 12401-6444 | |
| (845) 331-1261 | |
| (845) 331-2112 |
| Full Name | Gateway Community Industries, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1 Amy Kay Pkwy, Kingston, New York |
| Authorized Official Name and Position | Stephanie Turco (PRESIDENT & CEO) |
| Authorized Official Contact | 8453311261 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Community Industries, Inc 1 Amy Kay Pkwy Kingston NY 12401-6444 Ph: (845) 331-1261 | Gateway Community Industries, Inc 1 Amy Kay Pkwy Kingston NY 12401-6444 Ph: (845) 331-1261 |
| NPI Number | 1154538205 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/06/2020 |
| Certification Date | 08/06/2020 |
| Medicare PECOS PAC ID | 6800070574 |
|---|---|
| Medicare Enrollment ID | O20140120000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154538205 | NPI | - | NPPES |
| 01305288 | Medicaid | NY | |
| 01750536 | Medicaid | NY | |
| 01998943 | Medicaid | NY | |
| 01561811 | Medicaid | NY | |
| 02171039 | Medicaid | NY | |
| 02699392 | Medicaid | NY | |
| 01424033 | Medicaid | NY | |
| 02247083 | Medicaid | NY |
| Provider Name | Jessica M Hebrank |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881813319 PECOS PAC ID: 7113016478 Enrollment ID: I20071210000275 |
| Provider Name | Mary Beth Coons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417179250 PECOS PAC ID: 6608955075 Enrollment ID: I20080509000553 |
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