Provider Demographics
NPI:1154538205
Name:GATEWAY COMMUNITY INDUSTRIES, INC
Entity type:Organization
Organization Name:GATEWAY COMMUNITY INDUSTRIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TURCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-331-1261
Mailing Address - Street 1:1 AMY KAY PKWY
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-6444
Mailing Address - Country:US
Mailing Address - Phone:845-331-1261
Mailing Address - Fax:845-331-2112
Practice Address - Street 1:1 AMY KAY PKWY
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-6444
Practice Address - Country:US
Practice Address - Phone:845-331-1261
Practice Address - Fax:845-331-2112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6061300A251S00000X
NY6061300251S00000X
NY6061005A251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01305288Medicaid
NY01750536Medicaid
NY01998943Medicaid
NY01561811Medicaid
NY02171039Medicaid
NY02699392Medicaid
NY01424033Medicaid
NY02247083Medicaid