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NPI Code Detail

MEDICARE: MR. JONAS D GAYER LCSW

MEDICARE:  MR. JONAS D GAYER  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
11041C0700XClinical Social WorkerR032936NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P3040114OTHERNYOXFORD

General Provider Information

NPI Number : 1851389621
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JONAS D GAYER LCSW
Provider Business Mailing Address
First Line : 8146 188TH ST
Second Line :
City : HOLLIS
State : NY
Zip : 11423-1065
Country : US
Telephone Number : 718-454-3764
Fax Number : 718-454-3764
Provider Business Practice Location Address
First Line : 8146 188TH ST
Second Line :
City : HOLLIS
State : NY
Zip : 11423-1065
Country : US
Telephone Number : 718-454-3764
Fax Number : 718-454-3764
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 07/09/2007

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Directions to “ MR. JONAS D GAYER LCSW” Practice Location

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