Individual
EVAN GOTTFRIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS ED IN SPECIAL ED.
Contact information
Practice address
1 WILLOW BROOK DR, WALLKILL, NY 12589-2942
(201) 282-1350
Mailing address
1 WILLOW BROOK DR, WALLKILL, NY 12589-2942
(201) 282-1350
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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