Gerardi, Vincent Thomas
Gerardi, Vincent Thomas is an sole proprietor health care provider with primary practice located at 206 Glen St Ste 34 , Glens Falls NY 12801-3585. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gerardi, Vincent Thomas can be contacted via phone (518) 429-9173.Contact Information
Primary practice address
206 Glen St Ste 34
Glens Falls NY 12801-3585
Phone: (518) 429-9173
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 074294 | New York |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 12695 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 089-0109022 | Vermont |
Profile Details
| NPI number | 1740223833 |
|---|---|
| LBN Legal business name | Gerardi, Vincent Thomas |
| Credentials | L.C.S.W. - R, CASAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Feb 24th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740223833 | NPPES |
| New York | MEDICAID | 01420800 |
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