Individual
JANICE MARIE GAURILOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 COHOES RD, WATERVLIET, NY 12189-1811
(518) 328-0430
Mailing address
611 BERYL WAY, WATERVLIET, NY 12189-2963
(518) 698-5976
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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