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Individual

HOWARD GOOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
179TH STREET AND LINDEN BLVD, ST.ALBANS, NY 11425
(718) 298-8590
(718) 298-8669
Mailing address
179TH STREET AND LINDEN BLVD, ST.ALBANS, NY 11425

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
225000000X
Orthotic Fitter

Other

Enumeration date
12/08/2008
Last updated
12/22/2008
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