Provider Demographics
NPI:1588066450
Name:GEHY, MYRIAM EDITH (LMSW)
Entity type:Individual
Prefix:MISS
First Name:MYRIAM
Middle Name:EDITH
Last Name:GEHY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24005 144TH AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11422-2301
Mailing Address - Country:US
Mailing Address - Phone:917-541-9059
Mailing Address - Fax:
Practice Address - Street 1:24005 144TH AVE
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:NY
Practice Address - Zip Code:11422-2301
Practice Address - Country:US
Practice Address - Phone:917-541-9059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-22
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072380-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker