Individual
STUART GITLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3375 PARK AVE, SUITE 4001, WANTAGH, NY 11793-3733
(516) 521-9853
Mailing address
3375 PARK AVE, SUITE 4001, WANTAGH, NY 11793-3733
(516) 521-9853
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PR014187-1
NY
1041C0700X
Clinical Social Worker
R014187-1
NY
Other
Enumeration date
08/15/2006
Last updated
09/11/2025
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