Provider Demographics
NPI:1588229157
Name:GICHTIN, YAEL
Entity Type:Individual
Prefix:
First Name:YAEL
Middle Name:
Last Name:GICHTIN
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 1:6023 FORT HAMILTON PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-4814
Mailing Address - Country:US
Mailing Address - Phone:718-686-3400
Mailing Address - Fax:718-686-4559
Practice Address - Street 1:6023 FORT HAMILTON PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-4814
Practice Address - Country:US
Practice Address - Phone:718-686-3400
Practice Address - Fax:718-686-4559
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor