Provider Demographics
NPI:1245394931
Name:ELKIN-SCOTT, GAIL A (LP & LCAT)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:A
Last Name:ELKIN-SCOTT
Suffix:
Gender:F
Credentials:LP & LCAT
Other - Prefix:MS
Other - First Name:GAIL
Other - Middle Name:
Other - Last Name:ELKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCAT
Mailing Address - Street 1:32 UNION SQUARE EAST
Mailing Address - Street 2:SUITE 1218
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003
Mailing Address - Country:US
Mailing Address - Phone:917-885-5723
Mailing Address - Fax:
Practice Address - Street 1:32 UNION SQUARE EAST
Practice Address - Street 2:SUITE 1218
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:917-885-5723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY05 000282221700000X
NY19-000852102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Single Specialty
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist