Provider Demographics
NPI:1578660270
Name:NAPOLIS, MILYNN GAMBOA (AS,COTA/L)
Entity Type:Individual
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First Name:MILYNN
Middle Name:GAMBOA
Last Name:NAPOLIS
Suffix:
Gender:F
Credentials:AS,COTA/L
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Other - Last Name:
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Mailing Address - Street 1:3097 41ST ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-3431
Mailing Address - Country:US
Mailing Address - Phone:718-937-7943
Mailing Address - Fax:
Practice Address - Street 1:1965 WILLIAMSBRIDGE RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1604
Practice Address - Country:US
Practice Address - Phone:718-409-6977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4666-1224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant