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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. CHRISTINE E GOUDREAU, PTA

Active Sole Proprietor

MRS. CHRISTINE E GOUDREAU, PTA is a Registered Nurse healthcare provider located in PORT JERVIS, New York. NPI 1629361415 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · PORT JERVIS, NY

Registration Details

NPI Number
1629361415
Provider Type
Individual
Gender
Female
NPI Issued
May 26, 2011 (15.231388515515 yrs)
Last Updated
Nov 24, 2025
Licenses
645798-01 (NY)
003470-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
150 PIKE ST
PORT JERVIS, NY, 127711867
Browse NY providers · Browse ZIP 12771
Phone
8458005974
Primary Specialty
Registered Nurse
163W00000X
Additional Specialty
Occupational Therapist

Other Registered Nurse Providers in PORT JERVIS, NY

Name Credential NPI
REBECCA L ASCHOFF RN 1962627562
MS. KRISTIE ANNE MURPHY RN 1407085962
MRS. NANCY JEAN DUNN RN, CCM 1619286945
OLGA I MURRAY REGISTERED NURSE 1962795708
MRS. IRMA ELISABETH GEHRUNG RN 1467798066
MS. CHRISTINE VIGILIO RN 1013309665
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.