Wolk, Gary Scott

Wolk, Gary Scott is an individual health care provider with primary practice located at 16 N Goodman St , Rochester NY 14607-1554. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Wolk, Gary Scott can be contacted via phone (585) 546-6560.

Contact Information

Primary practice address
16 N Goodman St Rochester NY 14607-1554
Phone: (585) 546-6560
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 5666 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X R058024 New York

Profile Details

NPI number 1780653931
LBN Legal business name Wolk, Gary Scott
Credentials LCSW-R, CASAC, CGP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 9th, 2007 - about 17 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 1780653931 NPPES
New York MEDICAID 02561291
New York Other 114045FK
New York Other 7758505

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