Individual
MS. GINA BIANCA BUTRICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CORPORATE BLVD. SOUTH, YONKERS, NY 10701
(914) 294-6171
(914) 294-6179
Mailing address
561 ROUTE 9W, PIERMONT, NY 10968-1116
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
3832192
NY
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
01/24/2020
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