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Individual

GABRIELLE TAKINA ROCHA DE ASSIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-AC/PC

Contact information

Practice address
43 NEW SCOTLAND AVE # MC-139, ALBANY, NY 12208-3478
(518) 262-3131
Mailing address
451 WOODLAND DR, OLIVEBRIDGE, NY 12461-5719
(845) 514-6929

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383025
NY

Other

Enumeration date
07/13/2019
Last updated
04/24/2023
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