MEDICARE: DR. LANA GAITON 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	103T00000X	Psychologist	016868	NY

General Provider Information

NPI Number	:	1992928709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LANA GAITON PH.D.

Provider Business Mailing Address
First Line	:	2502 86TH ST
Second Line	:	FL 3
City	:	BROOKLYN
State	:	NY
Zip	:	11214-4440
Country	:	US
Telephone Number	:	347-391-4250
Fax Number	:	347-348-0620

Provider Business Practice Location Address
First Line	:	2502 86TH ST
Second Line	:	FL 3
City	:	BROOKLYN
State	:	NY
Zip	:	11214-4440
Country	:	US
Telephone Number	:	347-391-4250
Fax Number	:	347-348-0620

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

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	06/12/2018

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