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Individual

GILDA R FATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
97 BEACON HILL DR, DOBBS FERRY, NY 10522-2442
(914) 393-8697
(914) 674-6690
Mailing address
97 BEACON HILL DR, DOBBS FERRY, NY 10522-2442
(914) 393-8697
(914) 674-6690

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
589168040
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LDSS-3377
NY
Enumeration date
02/08/2018
Last updated
06/16/2018
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