Individual
CHRISTIE BONOMO-GOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
137 N CHESTNUT ST, NEW PALTZ, NY 12561-1005
(845) 242-4644
Mailing address
137 N CHESTNUT ST, NEW PALTZ, NY 12561-1005
(845) 242-4644
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
092936-1
NY
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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