MEDICARE: DR. LUCY GILBERT PH.D.

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	101YM0800X	Mental Health Counselor	002516-1	NY

General Provider Information

NPI Number	:	1720129604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUCY GILBERT PH.D.

Provider Business Mailing Address
First Line	:	141 COLUMBIA HTS APT 2C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-2149
Country	:	US
Telephone Number	:	718-643-2282
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 RIVERSIDE DR
Second Line	:	SUITE 1E
City	:	NEW YORK
State	:	NY
Zip	:	10024-3710
Country	:	US
Telephone Number	:	212-769-0847
Fax Number	:

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

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	07/08/2007

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