| Doctor Name: | MS. GAIL A VODOPIJA |
| NPI Number: | 1548345986 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW-R |
| License Number: | R-071721-1 |
| Business Practice Address: | 755 Waverly Ave Suite 305 Holtsville, NY - 117421190 |
| Business Phone Number: | 6317217422 |
| Business Fax Number: | 6318030394 |
| Mailing Address: | 77 Cedarhurst Ave, SELDEN |
| State: | NY |
| Postal Code: | 117842907 |
| Phone Number: | 6317217422 |
| Fax Number: | 6318030394 |
| NPI Enumeration Date: | 10/26/2006 |
| NPI Last Update Date: | 02/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | R-071721-1 |
| 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 |