Provider Demographics
NPI:1285949099
Name:APICELLA, GENETTE MARIE (MS, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:GENETTE
Middle Name:MARIE
Last Name:APICELLA
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CHARLES LN
Mailing Address - Street 2:APT. 2F
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3022
Mailing Address - Country:US
Mailing Address - Phone:845-893-6533
Mailing Address - Fax:
Practice Address - Street 1:3 CHARLES LN
Practice Address - Street 2:APT. 2F
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3022
Practice Address - Country:US
Practice Address - Phone:845-893-6533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015985-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist