Organization
G&G HOME INDEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW GANULIN OTR/L (OCCUPATIONAL THERAPIST)
(516) 655-7050
Entity
Organization
Contact information
Practice address
93 E. LEXINGTON AVE, OCEANSIDE, NY 11572
(516) 655-7050
Mailing address
93 E. LEXINGTON AVE, OCEANSIDE, NY 11572
(516) 655-7050
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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