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Individual
THOMAS GOLDSTEIN
Active
Individual
THOMAS GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K90367026
EMPIRE BLUE CROSS
NY
01
—
K9036702604
EMBLEMHEALTH
NY
Enumeration date
09/08/2020
Last updated
09/08/2020
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