Jacob J Gotham
Jacob J Gotham is a Case Manager/Care Coordinator in Ogdensburg, New York. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1003 Park StOgdensburg, NY 13669-3911
Phone: (315) 713-9090
Fax: (315) 713-9330
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1982383295 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 13, 2023 |
| Last updated in NPPES | July 13, 2023 |
| Certification date | July 13, 2023 |
| Mailing address | 1003 Park St, Ogdensburg, NY 13669-3911 |
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