Individual
DR. ANTHONY GAUDIOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, NCC, PHD
Contact information
Practice address
695 BUCK RD, STONE RIDGE, NY 12484-5500
(212) 729-1450
Mailing address
695 BUCK RD, STONE RIDGE, NY 12484-5500
(212) 729-1450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000464
NY
Other
Enumeration date
01/23/2006
Last updated
08/02/2022
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