Provider Demographics
NPI:1033534318
Name:GABRIELA GHITA
Entity Type:Organization
Organization Name:GABRIELA GHITA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:GHITA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-414-1389
Mailing Address - Street 1:2441 41ST ST
Mailing Address - Street 2:3
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-3236
Mailing Address - Country:US
Mailing Address - Phone:917-414-1389
Mailing Address - Fax:
Practice Address - Street 1:2441 41ST ST
Practice Address - Street 2:3
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-3236
Practice Address - Country:US
Practice Address - Phone:917-414-1389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2575097320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities