Individual
MS. LISA ANN GABRIEL-GIACOBBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
29 DUDLEY AVE, STATEN ISLAND, NY 10301-4003
(718) 447-4714
Mailing address
29 DUDLEY AVE, STATEN ISLAND, NY 10301-4003
(718) 447-4714
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
006051
NY
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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