JANOVLY JEREMIAH GANA FAMANILA

LONG ISLAND CITY, NY
NPI1124467287
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  017383)
Enumeration Date2013-06-21
Last Update Date2013-06-21
Business Address
-- JANOVLY JEREMIAH GANA FAMANILA OTR
3636 33RD ST STE 500
LONG ISLAND CITY, NY 11106-2329
Phone number: 212-529-9780
Mailing Address
-- JANOVLY JEREMIAH GANA FAMANILA OTR
1845 HOBART AVE APT 10D
BRONX, NY 10461-4173
Phone number: 646-331-2040