Provider Demographics
NPI:1053142877
Name:JOSEPH, MARIE GABRIELLE
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:GABRIELLE
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 ROBERT PITT DR APT F
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-3117
Mailing Address - Country:US
Mailing Address - Phone:845-729-0668
Mailing Address - Fax:
Practice Address - Street 1:61 ROBERT PITT DR APT F
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-3117
Practice Address - Country:US
Practice Address - Phone:845-729-0668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant