Gabriel, Mary Louise Lara

Gabriel, Mary Louise Lara is an sole proprietor health care provider with primary practice located at 6350 Pleasantview St , Middle Village NY 11379-1844. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gabriel, Mary Louise Lara can be contacted via phone (917) 604-5592.

Contact Information

Primary practice address
6350 Pleasantview St Middle Village NY 11379-1844
Phone: (917) 604-5592
Fax: (718) 326-0995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X CONTROL # 96572001 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 000482-1 New York

Profile Details

NPI number 1063770998
LBN Legal business name Gabriel, Mary Louise Lara
Credentials LMHC, SCHOOL PSYCHOL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2012
Last updated Feb 12th, 2024 - about 2 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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