Individual
JOAN GAYLORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5959 INDEPENDENCE AVE, BRONX, NY 10471-1299
(972) 890-3427
(972) 643-3500
Mailing address
5959 INDEPENDENCE AVE, BRONX, NY 10471-1299
(972) 890-3427
(972) 643-3500
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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