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Individual

NASTACIA GAYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14590 222ND ST, SPRINGFIELD GARDENS, NY 11413-3428
(917) 396-8497
Mailing address
14590 222ND ST, SPRINGFIELD GARDENS, NY 11413-3428
(917) 396-8497

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RF08151Y
NY
Enumeration date
08/22/2018
Last updated
08/22/2018
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