Provider Demographics
NPI:1992928709
Name:GAITON, LANA (PHD)
Entity type:Individual
Prefix:DR
First Name:LANA
Middle Name:
Last Name:GAITON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2502 86TH ST
Mailing Address - Street 2:FL 3
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4440
Mailing Address - Country:US
Mailing Address - Phone:347-391-4250
Mailing Address - Fax:347-348-0620
Practice Address - Street 1:2502 86TH ST
Practice Address - Street 2:FL 3
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4440
Practice Address - Country:US
Practice Address - Phone:347-391-4250
Practice Address - Fax:347-348-0620
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016868103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist