Provider Demographics
NPI:1558729657
Name:GASS, NESANEL
Entity Type:Individual
Prefix:MR
First Name:NESANEL
Middle Name:
Last Name:GASS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 SCOTLAND HILL RD
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-5837
Mailing Address - Country:US
Mailing Address - Phone:845-538-7298
Mailing Address - Fax:845-694-5482
Practice Address - Street 1:48 SCOTLAND HILL RD
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-5837
Practice Address - Country:US
Practice Address - Phone:845-538-7298
Practice Address - Fax:845-694-5482
Is Sole Proprietor?:No
Enumeration Date:2016-02-03
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator