Individual
SAM GOROHOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
440 NEPTUNE AVE, #14A, BROOKLYN, NY 11224-4455
(347) 374-6535
Mailing address
440 NEPTUNE AVE, #14A, BROOKLYN, NY 11224-4455
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
CERTIFIED
NY
Other
Enumeration date
12/18/2011
Last updated
12/18/2011
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