Individual
GESNER JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 CLOVERFIELD RD N, VALLEY STREAM, NY 11581-2404
(347) 424-1400
Mailing address
6 CLOVERFIELD RD N, VALLEY STREAM, NY 11581-2404
(347) 424-1400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005209-1
NY
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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