Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 013334-1 | NY |
N | 225XG0600X | Occupational Therapist - Gerontology | 013334-1 | NY |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 013334-1 | NY |
N | 225XP0200X | Occupational Therapist - Pediatrics | 013334-1 | NY |
NPI | 1306090386 |
---|---|
Provider Name | Nicole Lynn Abate-Gioino |
First Address | Long Island City, NY 11109-5709 |
Second Address | New York, NY 10024-3114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2008 |
Last Update Date | 23/08/2011 |