Most Relevant Information
Provider Data
| NPI Number: | 1003595893 |
| Provider Name: | LINA GABRIELLE GERSHOVICH LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 440L06976300 |
Most Important Dates
| Enumeration Date: | 07/18/2023 |
| Last Updated: | 07/18/2023 |
Provider Practice Location
59 BLUE HILL AVENUE
FAIR LAWN
NJ
07410
Practice Location Phone/Fax
| Phone: | 9176850905 |
| Fax: |
Provider Mailing Location
-59 BLUE HILL AVE
FAIR LAWN
NJ
074105503
Provider Mailing Phone/Fax
| Phone: | 9176850905 |
| Fax: |