Individual
KIMBERLY GORIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8802 ROCKAWAY BEACH BLVD, ROCKAWAY BEACH, NY 11693-1609
(718) 634-3461
Mailing address
2210 BROOKHAVEN AVE APT 5F, FAR ROCKAWAY, NY 11691-2688
(347) 441-8562
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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