Most Relevant Information
Provider Data
| NPI Number: | 1003037607 |
| Provider Name: | RENEE GAMBOL |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 1891 |
Most Important Dates
| Enumeration Date: | 05/01/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1329 BEACH CHANNEL DRIVE
FAR ROCKAWAY
NY
11691
Practice Location Phone/Fax
| Phone: | 7183376850 |
| Fax: |
Provider Mailing Location
385 BAYVIEW AVE
INWOOD
NY
11096
Provider Mailing Phone/Fax
| Phone: | 7183376850 |
| Fax: |