Individual
BLANCA-ROSA GAYOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
651 ACADEMY ST, NEW YORK, NY 10034-5003
(212) 942-0043
Mailing address
1841-CENTRAL PARK AVE, APT-3-D, YONKERS, NY 10710-0000
(212) 942-0043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
015276
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285628552
AGENCY
NY
Enumeration date
03/19/2007
Last updated
04/12/2016
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