Organization
COACH VERA'S SLOW & STEADY HEALTH PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VERA GILL RN (CDC NDPP LIFESTYLE COACH)
(718) 813-5945
Entity
Organization
Contact information
Practice address
80 UNION AVE, STATEN ISLAND, NY 10303-2426
(718) 813-5945
Mailing address
273 MAPLE PKWY # 2, STATEN ISLAND, NY 10303-2464
(718) 813-5945
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437524568
—
NY
05
—
1649819889
—
NY
05
—
1881320455
—
NY
05
—
1982030698
—
NY
Enumeration date
02/16/2022
Last updated
07/29/2022
Update your record
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