Provider Demographics
NPI:1013569714
Name:GOBIOFF, ELISHEVA
Entity Type:Individual
Prefix:
First Name:ELISHEVA
Middle Name:
Last Name:GOBIOFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 TAUBER TER
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-1645
Mailing Address - Country:US
Mailing Address - Phone:845-642-3878
Mailing Address - Fax:
Practice Address - Street 1:1 TAUBER TER
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-1645
Practice Address - Country:US
Practice Address - Phone:845-642-3878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-12
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator