Basic Information
| Provider Information | |||||||||
| NPI: | 1790922417 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GIL | ||||||||
| FirstName: | CINDY | ||||||||
| MiddleName: | LISSETTE | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 40 RECTOR ST | ||||||||
| Address2: | 8TH FLOOR | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100061705 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3474261190 | ||||||||
| FaxNumber: | 7184590283 | ||||||||
| Practice Location | |||||||||
| Address1: | 10205 63RD RD | ||||||||
| Address2: | GROUND FLOOR | ||||||||
| City: | FOREST HILLS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113751048 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3474261190 | ||||||||
| FaxNumber: | 7184590283 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/16/2009 | ||||||||
| LastUpdateDate: | 01/16/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.