MEDICARE: MS. VIRGINIA LYNN GIERSCH MSW/LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	R056139-1	NY

General Provider Information

NPI Number	:	1437179868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VIRGINIA LYNN GIERSCH MSW/LCSW

Provider Business Mailing Address
First Line	:	1504 INDIANA AVE
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4904
Country	:	US
Telephone Number	:	914-737-4400
Fax Number	:	914-788-4295

Provider Business Practice Location Address
First Line	:	138 ALBANY POST RD
Second Line	:
City	:	MONTROSE
State	:	NY
Zip	:	10548-1434
Country	:	US
Telephone Number	:	914-737-4400
Fax Number	:	914-788-4295

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	07/08/2007

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