Individual
MS. GISELA LINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14744 73RD AVE APT 3C, FLUSHING, NY 11367-2948
(347) 393-0212
Mailing address
14744 73RD AVE APT 3C, FLUSHING, NY 11367-2948
(347) 393-0212
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
135752021
NY
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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