| Doctor Name: | GERARD CHRISTOPHER TREACY |
| NPI Number: | 1023039880 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW |
| License Number: | 060759-1 |
| Business Practice Address: | 200 Bloomingdale Rd White Plains, NY - 106051514 |
| Business Phone Number: | 9145659617 |
| Business Fax Number: | |
| Mailing Address: | 512 Larchmont Acres Apt B, LARCHMONT |
| State: | NY |
| Postal Code: | 105387332 |
| Phone Number: | 9146826952 |
| Fax Number: | 9146826955 |
| NPI Enumeration Date: | 07/21/2006 |
| NPI Last Update Date: | 05/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 060759-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |