Individual ProviderKelly I GorskyCounselorBehavioral Health & Social Service ProvidersPractice Address2285 Victory Blvd, Staten Island, NY 10314-6631(646) 764-6465PECOS EnrollmentBased on the most recent information from CMS, provider Kelly I Gorsky does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 1:08 PM.Profile DetailsProvider ID1467641571Provider TypeIndividualFull NameGorsky, Kelly ICredentialLMHCGenderFemaleSole ProprietorYesEnumeration Date10/15/2007Last Updated10/4/2021Contact InformationPractice LocationPractice Address2285 Victory Blvd, Staten Island, NY 10314-6631Phone(646) 764-6465FaxUnlisted FaxMailing LocationMailing Address1000 South Ave Ste Ll1, Staten Island, NY 10314-3430Phone(646) 764-6465FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense001590New York