Individual
GABRIELLA FAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
454 PASSAIC ST, HACKENSACK, NJ 07601-1519
(201) 488-7905
(201) 488-7901
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01950600
NJ
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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