Individual
GABRIELLE EVA VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1014 FORT SALONGA RD STE 4, NORTHPORT, NY 11768-2273
(631) 837-2328
Mailing address
4 BARONE DR, CORAM, NY 11727-3083
(631) 732-5978
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
030669-01
NY
Other
Enumeration date
11/08/2025
Last updated
11/08/2025
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