Doctor Name: | ANTHONY GAINES |
NPI Number: | 1205241775 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICENSED SOCIAL WORK |
License Number: | |
Business Practice Address: | 71 Broadway Dobbs Ferry, NY - 105222834 |
Business Phone Number: | 9147987200 |
Business Fax Number: | |
Mailing Address: | 45 Etville Ave, YONKERS |
State: | NY |
Postal Code: | 107031104 |
Phone Number: | 9143564017 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2014 |
NPI Last Update Date: | 06/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |