Individual
ANNETTE MONIQUE GOULAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(818) 605-0699
Mailing address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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