Individual
JENNIFER C GOIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
560 W 218TH ST, APT 1E, NEW YORK, NY 10034-1036
(646) 612-4013
Mailing address
560 W 218TH ST, APT 1E, NEW YORK, NY 10034-1036
(646) 612-4013
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59600
EARLY INTERVENTION
NY
Enumeration date
06/24/2013
Last updated
06/24/2013
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