Provider Demographics
NPI:1598123846
Name:ANTHONY GAUDIOSO, PHD, LMHC , PC.
Entity Type:Organization
Organization Name:ANTHONY GAUDIOSO, PHD, LMHC , PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:GUADIOSO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, PHD
Authorized Official - Phone:917-470-9224
Mailing Address - Street 1:79 SAINT JAMES ST
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-4513
Mailing Address - Country:US
Mailing Address - Phone:917-470-9224
Mailing Address - Fax:
Practice Address - Street 1:79 SAINT JAMES ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-4513
Practice Address - Country:US
Practice Address - Phone:917-470-9224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP99440101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty