Individual
GENNA BELLUARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
299 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1217
(428) 463-1473
Mailing address
20 SOMERSET DR, HOLBROOK, NY 11741-2875
(631) 617-7229
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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