Individual
ANTHONY GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICENSED SOCIAL WORK
Contact information
Practice address
71 BROADWAY, DOBBS FERRY, NY 10522-2834
(914) 798-7200
Mailing address
45 ETVILLE AVE, YONKERS, NY 10703-1104
(914) 356-4017
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103TS0200X
—
NY
Enumeration date
06/24/2014
Last updated
06/24/2014
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