Individual
MRS. ANU GUCCIARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.P.T
Contact information
Practice address
2 CHATHAM PL, DIX HILLS, NY 11746-5412
(347) 678-5603
(866) 618-7685
Mailing address
2 CHATHAM PL, DIX HILLS, NY 11746-5412
(347) 678-5603
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
018256
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
762668515
DRIVERS LICENSE
NY
Enumeration date
05/15/2007
Last updated
12/10/2009
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