Individual
VERA LIU GU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 CONEY ISLAND AVENUE, OMNI CHILDHOOD CENTER,, BROOKLYN, NY 11230
(718) 998-1415
Mailing address
14929 24TH AVE, WHITESTONE, NY 11357-3646
(347) 399-6188
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008629-1
NY
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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