Individual
GERTRUDE ELAINE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
117 W 74TH ST, NEW YORK, NY 10023-2236
(212) 724-6300
Mailing address
117 W 74TH ST, NEW YORK, NY 10023-2236
(212) 724-6300
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
086019
NY
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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