NPI Code Details Logo

NPI 1497619126

NPI 1497619126 : JOYCE GEBRAEL : LIVERPOOL, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1497619126
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JOYCE GEBRAEL
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/16/2025
-----------------------------------------------------
    Last Update Date     |    12/16/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4886 W TAFT RD 
-----------------------------------------------------
    City                 |    LIVERPOOL
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    13088-4810
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    315-810-2423
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    8196 WHITMAN WAY 
-----------------------------------------------------
    City                 |    LIVERPOOL
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    13090-6895
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225X00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapist
-----------------------------------------------------
    License Number       |    030560
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.