Individual
SERAFINA GOHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, CBIS
Contact information
Practice address
78 OLD COUNTRY RD, WESTHAMPTON, NY 11977-1219
(631) 288-0101
Mailing address
10 FRAN LN, SELDEN, NY 11784-2614
(631) 891-5001
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012002-01
NY
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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