Individual
KERRY MARIE GOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
301 W 108TH ST, NEW YORK, NY 10025-2758
(718) 377-5000
(718) 377-5002
Mailing address
301 W 108TH ST, NEW YORK, NY 10025-2758
(718) 377-5000
(718) 377-5002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012734
NY
Other
Enumeration date
04/22/2021
Last updated
11/14/2023
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