Individual
ALICIA GELUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 OAKCREST AVE, FARMINGVILLE, NY 11738-1921
(631) 312-6998
Mailing address
21 OAKCREST AVE, FARMINGVILLE, NY 11738-1921
(631) 312-6998
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009139
NY
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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