Individual
MS. DENISE YVONNE GOURDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1957 NOSTRAND AVE, BROOKLYN, NY 11210-1531
(718) 941-2800
Mailing address
1655 FLATBUSH AVE, APARTMENT # A1905, BROOKLYN, NY 11210-3276
(718) 253-4047
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
AA607549
NY
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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