Individual
MISS GIA TILATITSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 SPRAGUE AVE, STATEN ISLAND, NY 10307-1931
(917) 566-4089
Mailing address
103 SPRAGUE AVE, STATEN ISLAND, NY 10307-1931
(917) 566-4089
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NY
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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