Individual
ALYSSA MAE GORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
579 COURTLANDT AVE, BRONX, NY 10451-5013
(718) 485-2100
Mailing address
11 SULKY DR, NEWBURGH, NY 12550-3862
(845) 674-2134
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104252-1
NY
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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