Individual
FELICIA FAZIE GOCOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10603 107TH AVE, OZONE PARK, NY 11417-2322
(347) 791-2673
Mailing address
10603 107TH AVE, OZONE PARK, NY 11417-2322
(347) 791-2673
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024817-01
NY
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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