Healthcare Provider Details

I. General information

NPI: 1760386254
Provider Name (Legal Business Name): GABRIELLA STAWINSKI
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

765 ROUTE 17
PARAMUS NJ
07652-3112
US

IV. Provider business mailing address

765 ROUTE 17
PARAMUS NJ
07652-3112
US

V. Phone/Fax

Practice location:
  • Phone: 201-843-3427
  • Fax:
Mailing address:
  • Phone: 201-843-3427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number46TR01307600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: