- Practice location
- 3619 Quentin RD, Brooklyn, NY 11234-4203
- Phone
- 718-998-7500
- Fax
- 718-998-7955
- Last updated
- July 30, 2008
Gila Wisemon is a Counselor, Addiction (Substance Use Disorder) based in Brooklyn, NY. Gila Wisemon practices in Brooklyn, NY and has the professional credentials of CASAC-T. The NPI Number for Gila Wisemon is 1164686242 and holds a License No. 18895 (NY). The current practice location address for Gila Wisemon is 3619 Quentin RD, Brooklyn, NY 11234-4203 and can be reached out via phone at 718-998-7500 and via fax at 718-998-7955.
Provider Profile Details
- NPI Number
- 1164686242
- Provider Name
- Gila Wisemon
- Credential
- CASAC-T
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3619 Quentin RD, Brooklyn, NY 11234-4203
- Phone Number
- 718-998-7500
- Fax Number
- 718-998-7955
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 17, 2008
- Last Update Date
- July 30, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3619 Quentin RD
Brooklyn, NY 11234-4203 - City
- Brooklyn
- State
- New York
- Zip
- 11234-4203
- Phone Number
- 718-998-7500
- Fax Number
- 718-998-7955
Provider Business Mailing Address Details
- Address
- Po Box 31094
Hartford, CT 06150-1094 - City
- Hartford
- State
- CT
- Zip
- 06150-1094
- Phone Number
- 518-952-8140
- Fax Number
- 518-952-8287
License Information
- License Number
- 18895
- License State
- NY
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near Brooklyn, NY
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- Mr. Anthony J Gerone, CASACCounselor, Addiction (Substance Use Disorder) · NPI 1629280292
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Frequently Asked Questions
What is the NPI number of Gila Wisemon, CASAC-T?
The NPI number of Gila Wisemon, CASAC-T is 1164686242. It was assigned on July 17, 2008 and is currently active in the NPPES registry.
What is the specialty of Gila Wisemon, CASAC-T?
Gila Wisemon, CASAC-T is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NY under license number 18895.
Where does Gila Wisemon, CASAC-T practice?
The practice location is 3619 Quentin RD, Brooklyn, NY 11234-4203. The office can be reached at 718-998-7500 (phone) or 718-998-7955 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164686242 directly on the NPPES registry website.