Jacob J Gotham Valid NPI
Individual provider · Case Manager/Care Coordinator · Ogdensburg, NY
- NPI
- 1982383295
- Type
- Individual (Type 1)
- Primary specialty
- Case Manager/Care Coordinator
- Specialty group
- Other Service Providers
- Taxonomy code
- 171M00000X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2023-07-13
- Last updated
- 2023-07-13
Practice location
1003 Park St
Ogdensburg, NY 13669-3911
(315) 713-9090