Provider Demographics
NPI:1659442085
Name:GAYLE-BABB, CLAUDETTE ELAINE
Entity Type:Individual
Prefix:MRS
First Name:CLAUDETTE
Middle Name:ELAINE
Last Name:GAYLE-BABB
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 1:133 -25 220TH STREET
Mailing Address - Street 2:SPRINGFIELD GARDENS
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:11413
Mailing Address - Country:US
Mailing Address - Phone:718-712-9563
Mailing Address - Fax:
Practice Address - Street 1:13325 220TH ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11413-1636
Practice Address - Country:US
Practice Address - Phone:718-712-9563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health