Stephen D Gill is a Peer Specialist based in Harrison, NY. Stephen D Gill practices in Harrison, NY. The NPI Number for Stephen D Gill is 1902568389 and holds a License No. (New York).
The current practice location address for Stephen D Gill is 275 North St, Harrison, NY and can be reached out via phone at 914-925-5309.
Location: 275 North St, Harrison, NY, 10528-1140
Provider Profile Details
NPI Number
1902568389
Provider Name
Stephen D Gill
Credential
Provider Entity Type
Individual
Gender
Male
Address
275 North St, Harrison, NY, 10528-1140
Phone Number
914-925-5309
Fax Number
Provider Enumeration Date
10/12/2021
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 358139359 | 01 | NY | DRIVER'S LICENSE |
Provider Business Practice Location Address Details
Address
275 North St
City
State
Zip
10528-1140
Phone Number
914-925-5309
Fax Number
Provider Business Mailing Address Details
Address
275 North St
City
State
Zip
10528-1140
Phone Number
914-925-5309
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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