Individual
CYNTHIA MARISELLA GOWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
(631) 385-7795
Mailing address
71 RAILROAD ST, HUNTINGTON STATION, NY 11746-1230
(631) 565-9835
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CS09078Q
—
NY
Enumeration date
10/15/2018
Last updated
10/15/2018
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