Organization
MICHELLE GOFMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE GOFMAN M.S. (SLP)
(347) 553-7566
Entity
Organization
Contact information
Practice address
145 BEAUMONT ST, BROOKLYN, NY 11235-4118
(347) 553-7566
Mailing address
145 BEAUMONT STREET, BROOKLYN, NY 11235
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
04/03/2015
Last updated
04/07/2015
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