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NPI Code Detail

MEDICARE: MR. MICHAEL S. GILL M.A., LMHC

MEDICARE:  MR. MICHAEL S. GILL  M.A., LMHC
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
1101YM0800XMental Health Counselor000492NY

General Provider Information

NPI Number : 1033126347
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL S. GILL M.A., LMHC
Provider Business Mailing Address
First Line : 248 E 7TH ST
Second Line : APT. 23
City : NEW YORK
State : NY
Zip : 10009-6011
Country : US
Telephone Number : 212-995-8717
Fax Number : 718-430-3960
Provider Business Practice Location Address
First Line : 1165 MORRIS PARK AVE
Second Line : ROUSSO-119
City : BRONX
State : NY
Zip : 10461-1915
Country : US
Telephone Number : 718-430-3942
Fax Number : 718-430-3960
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 07/08/2007

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