Provider Demographics
NPI:1215773742
Name:GAO, JINGCHAO (N/A)
Entity type:Individual
Prefix:MISS
First Name:JINGCHAO
Middle Name:
Last Name:GAO
Suffix:
Gender:F
Credentials:N/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9151
Mailing Address - Country:US
Mailing Address - Phone:347-912-5887
Mailing Address - Fax:
Practice Address - Street 1:480 2ND AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9151
Practice Address - Country:US
Practice Address - Phone:347-912-5887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health