Individual
ANESHA GODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 BRUCKNER BLVD FRNT 2, BRONX, NY 10465-1973
(718) 380-7600
(718) 820-9197
Mailing address
2800 BRUCKNER BLVD FRNT 2, BRONX, NY 10465-1973
(718) 380-7600
(718) 820-9197
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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