Individual
ADELE N/A GORODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2898 W 8TH ST APT 8K, BROOKLYN, NY 11224-3349
(347) 419-3938
Mailing address
711 MONTAUK CT APT 5G, BROOKLYN, NY 11235-5196
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
119387-01
NY
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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