Individual
GLORIA DILL-GASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 W 124TH ST, NEW YORK, NY 10027-4920
(212) 932-2676
Mailing address
119 W 124TH ST, NEW YORK, NY 10027-4920
(212) 932-2676
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001140-MMTP
NY
Other
Enumeration date
11/07/2024
Last updated
12/10/2024
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