Individual
MS. GLADYS R BAYLES-PANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
585 SCHENECTADY AVE, BROOKLYN, NY 11203-1822
(718) 604-5434
(718) 604-5527
Mailing address
585 SCHENECTADY AVE, BROOKLYN, NY 11203-1822
(718) 604-5434
(718) 604-5527
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007210
NY
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007210
LICENSE
NY
Enumeration date
06/26/2007
Last updated
07/08/2007
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