National Provider Identifier

Maida Erika Gierasch

Maida Erika Gierasch is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 273-7659.

NPI 1568506756Ithaca, NYClinical Social Worker

Profile Overview

NPI
1568506756
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
February 19, 2007
Last Updated
July 08, 2007

Practice Location

  • 120 E Buffalo St
  • Ithaca, NY 14850-4266

Phone: (607) 273-7659

Mailing Address

  • 208 Wait Ave
  • Ithaca, NY 14850-2438

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1568506756
Entity Type
Individual
Last Name
Gierasch
First Name
Maida
Middle Name
Erika
Name Prefix
MS.
Mailing Street Address
208 Wait Ave
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-2438
Mailing Country
US
Mailing Phone
(607) 257-6679
Practice Street Address
120 E Buffalo St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-4266
Practice Country
US
Practice Phone
(607) 273-7659
Enumeration Date
February 19, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)