# RENA GOLDMAN 7142 INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205199015
- **Authorized official:** RENA GOLDMAN MS ED (SPEC ED)
- **Authorized official phone:** (917) 293-3603

## Contact information

- **Practice address:** 7142 147TH ST, 1ST FLOOR, FLUSHING, NY 11367-2017
- **Practice address phone:** (917) 293-3603
- **Mailing address:** 7142 147TH ST, 1ST FLOOR, FLUSHING, NY 11367-2017
- **Mailing address phone:** (917) 293-3603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/18/2012
- **Last updated:** 06/18/2012