Individual
GINA MARIE DESILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
129 AVENUE C, HOLBROOK, NY 11741-1413
(516) 503-9550
Mailing address
129 AVENUE C, HOLBROOK, NY 11741-1413
(516) 503-9550
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
010434
NY
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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