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Organization

GABRIELLE DICANIO-KIRBY

Active
Other names
Gabrielle Dicanio
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GABRIELLE DICANIO PSY.D. (SCHOOL PSYCHOLOGIST)
15163190576
Entity
Organization

Contact information

Practice address
15 PEGS LN, COLD SPRING HARBOR, NY 11724-2414
(516) 319-0576
Mailing address
15 PEGS LN, COLD SPRING HARBOR, NY 11724-2414
(516) 319-0576

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
NY
252Y00000X
Early Intervention Provider Agency
Primary
68 016934
NY

Other

Enumeration date
02/01/2013
Last updated
05/07/2013
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