Individual
JESSE GOTAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
156 NEW YORK 302, PINE BUSH, NY 12566
(845) 744-2031
Mailing address
359 BLUMEL RD, MIDDLETOWN, NY 10941-1150
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002069-1
NY
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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