Most Relevant Information
Provider Data
| NPI Number: | 1003515511 |
| Provider Name: | KIMBERLY GORIS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/23/2023 |
| Last Updated: | 02/23/2023 |
Provider Practice Location
8802 ROCKAWAY BEACH BLVD
ROCKAWAY BEACH
NY
116931609
Practice Location Phone/Fax
| Phone: | 7186343461 |
| Fax: |
Provider Mailing Location
2210 BROOKHAVEN AVE APT 5F
FAR ROCKAWAY
NY
116912688
Provider Mailing Phone/Fax
| Phone: | 3474418562 |
| Fax: |