Individual
DANIELLE MARIE GERSHOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2169 E 69TH ST FL 3, BROOKLYN, NY 11234-6001
(347) 587-3964
Mailing address
2169 E 69TH ST FL 3, BROOKLYN, NY 11234-6001
(347) 587-3964
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
910021151
NY
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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