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Individual

MS. CARLY FAITH GOLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR,L

Contact information

Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-5405
Mailing address
487 W END AVE, #3B, NEW YORK, NY 10024-4354
(646) 337-5186

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014373-1
NY

Other

Enumeration date
05/11/2007
Last updated
07/08/2007
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