Provider Demographics
NPI:1235904301
Name:GASKIN, KAYLA ARIANNE
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:ARIANNE
Last Name:GASKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14839 231ST ST
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11413-4244
Mailing Address - Country:US
Mailing Address - Phone:866-949-4802
Mailing Address - Fax:845-999-4929
Practice Address - Street 1:14839 231ST ST
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:NY
Practice Address - Zip Code:11413-4244
Practice Address - Country:US
Practice Address - Phone:866-949-4802
Practice Address - Fax:845-999-4929
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator