Individual
AMY GIANNACCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2337 207TH ST, BAYSIDE, NY 11360-1341
(917) 991-7180
Mailing address
2337 207TH ST, BAYSIDE, NY 11360-1341
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007720-1
NY
Other
Enumeration date
06/24/2010
Last updated
03/24/2025
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