Individual
MS. JOANNE MARIA GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRPA
Contact information
Practice address
15705 ROCKAWAY BLVD # 2A, JAMAICA, NY 11434-4841
(313) 801-8570
Mailing address
9131 QUEENS BLVD, ELMHURST, NY 11373-5555
(718) 896-3400
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-5480
NY
175T00000X
Peer Specialist
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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