Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 084879 | NY |
NPI | 1003240201 |
---|---|
Provider Name | Ashley Giles |
First Address | New York, NY 10010-4102 |
Second Address | New York, NY 10010-4102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2013 |
Last Update Date | 13/12/2016 |