Individual
GAYLE R BARDIN-DAVERSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 RAYMOND CT, SEA CLIFF, NY 11579-2028
(516) 676-0129
(516) 676-6435
Mailing address
10 RAYMOND CT, SEA CLIFF, NY 11579-2028
(516) 676-0129
(516) 676-6435
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
006787-1
NY
Other
Enumeration date
08/23/2012
Last updated
08/16/2019
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