Individual
GABRIELLE DIVINCENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 ORIAN PL, GLEN COVE, NY 11542-2916
(516) 835-9115
Mailing address
5 ORIAN PL, GLEN COVE, NY 11542-2916
(516) 835-9115
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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