Provider Demographics
NPI:1205261898
Name:GABARRO, AIDA MARIA (LMSW)
Entity type:Individual
Prefix:MRS
First Name:AIDA
Middle Name:MARIA
Last Name:GABARRO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2465 BATHGATE AVE
Mailing Address - Street 2:FAMILY SERVICE DEPARTMENT
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-5928
Mailing Address - Country:US
Mailing Address - Phone:718-367-5917
Mailing Address - Fax:718-367-6692
Practice Address - Street 1:2465 BATHGATE AVE
Practice Address - Street 2:FAMILY SERVICE DEPARTMENT
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-5928
Practice Address - Country:US
Practice Address - Phone:718-367-5917
Practice Address - Fax:718-367-6692
Is Sole Proprietor?:No
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072439-11041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool