Individual
GLORIA DEGELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 W 11TH ST, NEW YORK, NY 10011-8306
(212) 675-2756
Mailing address
3636 GREYSTONE AVE APT 4N, BRONX, NY 10463-2021
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011318
NY
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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