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Individual
JESSICA GOLDMAN
Active
Individual
JESSICA GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, LCSW, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
72 088144
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
760350
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402992
NY
Other
Enumeration date
05/20/2013
Last updated
06/03/2026
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