Organization
PROUD MOMENTS THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOSEF GOLDFEDER (PRESIDENT)
(917) 573-7352
Entity
Organization
Contact information
Practice address
1251 58TH ST, BROOKLYN, NY 11219-4528
(917) 573-7352
Mailing address
1251 58TH ST, BROOKLYN, NY 11219-4528
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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