Individual
MRS. KAREN GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
256 MASON AVE # C, STATEN ISLAND, NY 10305-3408
(718) 226-6502
Mailing address
572 CARY AVE, STATEN ISLAND, NY 10310-1903
(718) 816-6476
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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