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Individual

KRISTY GULOTTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
221 JERICHO TPKE, SYOSSET, NY 11791-4515
(516) 496-2743
(516) 496-2780
Mailing address
221 JERICHO TPKE, SYOSSET, NY 11791-4515
(516) 496-2743
(516) 496-2780

Taxonomy

Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
015365-1
NY
225XP0019X
Physical Rehabilitation Occupational Therapist
015365-1
NY
283Q00000X
Psychiatric Hospital
015365-1
NY
314000000X
Skilled Nursing Facility
015365-1
NY

Other

Enumeration date
04/09/2018
Last updated
08/26/2019
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