Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 110785 | NY |
NPI | 1003415605 |
---|---|
Provider Name | Taylor Anne Goska |
First Address | New York, NY 10025-4264 |
Second Address | New York, NY 10029-3119 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2020 |
Last Update Date | 23/10/2020 |