Jamie Alexandra Gallo | Staten Island, NY • PECOS Search

Jamie Alexandra Gallo

Counselor

Behavioral Health & Social Service Providers

2795 Richmond Ave, Jbfcs, Staten Island, NY 10314-5866

PECOS Enrollment

Based on the most recent information from CMS, provider Jamie Alexandra Gallo does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 1:08 PM.

Profile Details

Provider ID
1548666456
Provider Type
Individual
Full Name
Gallo, Jamie Alexandra
Credential
LMHC

Gender
Female
Sole Proprietor
No
Enumeration Date
11/5/2014
Last Updated
11/5/2014

Contact Information

Practice Location

2795 Richmond Ave, Jbfcs, Staten Island, NY 10314-5866

(718) 982-6916

Mailing Location

2795 Richmond Ave, Jbfcs, Staten Island, NY 10314-5866

(718) 982-6916

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 006294 New York