Individual provider · NPI-1
Gabrielle Fidis, LCAT, RDT
Drama Therapist · Astoria, NY
NPI number1447015011
StatusActive
Last updated in NPPESFeb 14, 2024
Details
- NPI
- 1447015011
- Entity type
- Individual (NPI-1)
- Name
- Gabrielle Fidis
- Credential
- LCAT, RDT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 14, 2024
- Certification date
- Feb 14, 2024
- Last updated
- Feb 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101200000X | Drama Therapist | 002944 | NY | Yes |
Practice location
3418 44th St Apt 1fAstoria, NY 11101-1252
Phone 516-319-2881
Mailing address
3418 44th St Apt 1fAstoria, NY 11101-1252
Phone 516-319-2881
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