Gayle, Nastacia

Gayle, Nastacia is an individual health care provider with primary practice located at 14590 222Nd St , Springfield Gardens NY 11413-3428. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Gayle, Nastacia can be contacted via phone (917) 396-8497.

Contact Information

Primary practice address
14590 222Nd St Springfield Gardens NY 11413-3428
Phone: (917) 396-8497
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1679054340
LBN Legal business name Gayle, Nastacia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2018
Last updated Aug 22nd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679054340 NPPES
New York MEDICAID RF08151Y

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