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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MARYROSEBEVERLY GONZALES CANCIO, OTA

Active Sole Proprietor

MRS. MARYROSEBEVERLY GONZALES CANCIO, OTA is a Occupational Therapy Assistant healthcare provider located in STATEN ISLAND, New York. NPI 1790995439 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · STATEN ISLAND, NY

Registration Details

NPI Number
1790995439
Provider Type
Individual
Gender
Female
NPI Issued
May 23, 2007 (19.189592692757 yrs)
Last Updated
Jul 8, 2007
License
006150 (NY)
Sole Proprietor
Yes

Practice Information

Address
24 TALARICO COURT
STATEN ISLAND, NY, 10314
Browse NY providers · Browse ZIP 10314
Phone
7184946387
Fax
7184946387
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in STATEN ISLAND, NY

Name Credential NPI
YUSUF A RAINES 1275742850
CAROL RACHEL MASLOW COTA 1770776825
JONATHAN OLIVA 1912185307
CAMILLE PATRICIA LANAIA 1689821050
MS. ANGELA M PERALTA COTA 1568614576
MRS. JEAN BARBARA HALISKY COTA/L 1184878472
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.