Provider Demographics
NPI:1649716127
Name:LANA GAITON PSYCHOLOGICAL SERVICES, PC
Entity type:Organization
Organization Name:LANA GAITON PSYCHOLOGICAL SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAITON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:347-391-4250
Mailing Address - Street 1:2502 86TH ST
Mailing Address - Street 2:FLOOR 3
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4440
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2502 86TH ST
Practice Address - Street 2:FLOOR 3
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4440
Practice Address - Country:US
Practice Address - Phone:646-260-9981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-09
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty