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Individual

MRS. GAYLE J PLISCOFSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.T.

Contact information

Practice address
214 STATE ROUTE 197, FORT EDWARD, NY 12828
(972) 983-2833
Mailing address
PO BOX 87, FORT EDWARD, NY 12828
(518) 955-5666

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005818
NY
225X00000X
Occupational Therapist
110770
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8T4671
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/27/2006
Last updated
07/18/2018
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