Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mrs. Maryrosebeverly Gonzales Cancio, OTA

Individual provider Occupational Therapy Assistant · NPI 1790995439

Mrs. Maryrosebeverly Gonzales Cancio, OTA is an Occupational Therapy Assistant in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

24 Talarico Ct
Staten Island, NY 10314 Not confirmed with CMS for 19 years — call before visiting
Phone: (718) 494-6387
Fax: (718) 494-6387
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 006150 (NY)

Record details

NPI number1790995439
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTA
Sole proprietorYes
NPI enumeratedMay 23, 2007
Last updated in NPPESJuly 8, 2007

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