Individual
DESIREE GEBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22004 LINDEN BLVD, CAMBRIA HEIGHTS, NY 11411-1621
(718) 712-3358
Mailing address
22004 LINDEN BLVD, CAMBRIA HEIGHTS, NY 11411-1621
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10051-01
NY
171M00000X
Case Manager/Care Coordinator
Primary
287104747
NY
Other
Enumeration date
12/04/2018
Last updated
05/30/2019
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