IndividualActive
Janice Gully
NPI 1558686642 · Recreation Therapist · Mastic, NY
Provider details
- NPI number
- 1558686642
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
82 Meadowmere Ave
Mastic, NY 11950-4606
Phone: (631) 924-4411
Approximate (ZIP-level) locationGet directions
Mailing address
82 Meadowmere Ave
Mastic, NY 11950-4606
Registry dates
- Enumerated
- 2010-03-31
- Last updated
- 2010-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.