# MICHELLE GOFMAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356736557
- **Authorized official:** MICHELLE GOFMAN M.S. (SLP)
- **Authorized official phone:** (347) 553-7566

## Contact information

- **Practice address:** 145 BEAUMONT ST, BROOKLYN, NY 11235-4118
- **Practice address phone:** (347) 553-7566
- **Mailing address:** 145 BEAUMONT STREET, BROOKLYN, NY 11235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NY | Yes |

## Other

- **Enumeration date:** 04/03/2015
- **Last updated:** 04/07/2015