Most Relevant Information
Provider Data
| NPI Number: | 1003642133 |
| Provider Name: | GIA TILATITSKY |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/13/2024 |
| Last Updated: | 09/13/2024 |
Provider Practice Location
103 SPRAGUE AVE
STATEN ISLAND
NY
103071931
Practice Location Phone/Fax
| Phone: | 9175664089 |
| Fax: |
Provider Mailing Location
103 SPRAGUE AVE
STATEN ISLAND
NY
103071931
Provider Mailing Phone/Fax
| Phone: | 9175664089 |
| Fax: |