Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GABRIELLA ANNA CANNON
Active Sole ProprietorGABRIELLA ANNA CANNON is a Early Intervention Provider Agency healthcare provider located in BAY SHORE, New York. NPI 1780221051 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · BAY SHORE, NY
Registration Details
- NPI Number
- 1780221051
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 5, 2019 (6.6550701420776 yrs)
- Last Updated
- Dec 5, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
1403 ACKERSON BLVDBAY SHORE, NY, 117063841Browse NY providers · Browse ZIP 11706
- Phone
- 6319437737
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
Other Early Intervention Provider Agency Providers in BAY SHORE, NY
| Name | Credential | NPI |
|---|---|---|
| MS. MARY DOHERTY | MS ED/SPEC ED CERT | 1700149291 |
| SHANTAY BETTY-DENTON | SPECIAL EDUCATOR | 1245594886 |
| ROBERT JOSEPH HEUTHE | M.S. ED. | 1881153716 |
| MELODY EVANS | MFT | 1659018646 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.