Individual
AMY GOTTHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 E 94TH ST APT 1, NEW YORK, NY 10128-2905
(347) 998-4206
Mailing address
635 RIVERSIDE DR APT 3F, NEW YORK, NY 10031-7154
(347) 998-4206
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
079136
NY
Other
Enumeration date
01/25/2018
Last updated
06/29/2021
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