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Provider Information for 1235452079


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Ms. ELAINE ALISON GILMARTIN LCSW


Sex: Female

NPI: 1235452079
Last Updated: 2013-09-05
Certification Date:

Details

NameValue
NPI1235452079
Enumeration Date2010-03-08
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 8 HENDRIE LN
GREENLAWN, NY 11740-1011
United States

Phone: 631-754-3172 | Fax:631-239-1447
 
Primary Practice Address 8 HENDRIE LN
GREENLAWN, NY 11740-1011
United States

Phone: 631-754-3172 | Fax:631-239-1447
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalNY079451-1