Individual
MRS. MICHELE CHRISTINE SANZONE-GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 LEONARD BLVD, NEW HYDE PARK, NY 11040-3933
(516) 488-9556
(516) 488-9506
Mailing address
500 LEONARD BLVD, NEW HYDE PARK, NY 11040-3933
(516) 488-9556
(516) 488-9506
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
077338
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01378665
—
NY
Enumeration date
12/23/2011
Last updated
12/23/2011
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