Individual
MS. GAIL ANNE TISHCOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, OTR
Contact information
Practice address
3447 75 STREET, JACKSON HEIGHTS, NY 11372-1149
(171) 856-1255
Mailing address
14461 ROOSEVELT AVE, FLUSHING, NY 11354-6252
(718) 269-2025
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0050151
NY
Other
Enumeration date
05/09/2007
Last updated
10/14/2010
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