Healthcare Provider Details

I. General information

NPI: 1245394931
Provider Name (Legal Business Name): GAIL A ELKIN-SCOTT L.P. & LCAT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: GAIL ELKIN LCAT

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 10/18/2021
Certification Date: 10/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 UNION SQUARE EAST SUITE 1218
NEW YORK NY
10003
US

IV. Provider business mailing address

32 UNION SQUARE EAST SUITE 1218
NEW YORK NY
10003
US

V. Phone/Fax

Practice location:
  • Phone: 917-885-5723
  • Fax:
Mailing address:
  • Phone: 917-885-5723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number05 000282
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number19-000852
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: