Individual
AMOS C GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2324 FOREST AVE, STATEN ISLAND, NY 10303-1506
(718) 447-8205
Mailing address
161 W 53RD ST, BAYONNE, NJ 07002-2166
(201) 562-3093
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
013244
NY
225X00000X
Occupational Therapist
Primary
013244-01
NY
Other
Enumeration date
08/23/2007
Last updated
07/24/2024
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