| Katiuscia Gray, Lcsw | |
|
381 Sunrise Hwy Ste 602 Lynbrook NY 11563-3006 | |
| (516) 500-3528 | |
| Not Available |
| Full Name | Katiuscia Gray, Lcsw |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 381 Sunrise Hwy Ste 602, Lynbrook, New York |
| Authorized Official Name and Position | Katiuscia K Gray (OWNER/ EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5165003528 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katiuscia Gray, Lcsw Po Box 72 Malverne NY 11565-0072 Ph: (917) 415-4562 | Katiuscia Gray, Lcsw 381 Sunrise Hwy Ste 602 Lynbrook NY 11563-3006 Ph: (516) 500-3528 |
| NPI Number | 1750909644 |
|---|---|
| Provider Enumeration Date | 07/08/2020 |
| Last Update Date | 06/14/2021 |
| Certification Date | 06/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750909644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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