Most Relevant Information
Provider Data
| NPI Number: | 1003651951 |
| Provider Name: | MIAKODA GALE LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/01/2024 |
| Last Updated: | 07/01/2024 |
Provider Practice Location
113 UNIVERSITY PL
NEW YORK
NY
100034527
Practice Location Phone/Fax
| Phone: | 9179609500 |
| Fax: |
Provider Mailing Location
936 PRESIDENT ST APT 3R
BROOKLYN
NY
112151673
Provider Mailing Phone/Fax
| Phone: | 4344098545 |
| Fax: |