Organization
AYELET P GOLDBERG, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AYELET P GOLDBERG LCSW (SOCIAL WORKER)
(917) 923-7644
Entity
Organization
Contact information
Practice address
6143 186TH ST STE 312, FRESH MEADOWS, NY 11365-2710
(917) 923-7644
Mailing address
6143 186TH ST STE 312, FRESH MEADOWS, NY 11365-2710
(917) 923-7644
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
082421
NY
Other
Enumeration date
10/27/2016
Last updated
04/16/2018
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