Gabriella Lake's National Provider Identifier (NPI) Details
Gabriella Lake, LCSW
NPI: 1235616889
Enumeration Date: 2018-07-26
Last updated: 2024-03-08
Sole Proprietor: YES
Status: active
Postal Address: 57 W BURNSIDE AVE # B1, BRONX, NY
Phone: 718-893-8900
Primary Practice Address: 57 W BURNSIDE AVE # B1, BRONX, NY
Practice's phone: 718-893-8900