Organization
BECON THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWENETTE BERYL GIBSON (CERTIFIED OCCUPTIONAL THEAPY ASST)
(917) 797-3793
Entity
Organization
Contact information
Practice address
1441 OLD NORTHERN BLVD, ROSLYN, NY 11576-2146
(516) 632-1106
(516) 625-0238
Mailing address
581 PARK PL, BROOKLYN, NY 11238-4744
(917) 797-3797
(718) 230-4153
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NY
Other
Enumeration date
04/17/2007
Last updated
09/06/2023
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