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Individual

DR. STANLEY CURT GOLDKLANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
60 GLENWOOD LN, ROSLYN HEIGHTS, NY 11577-1411
(516) 621-1025
(516) 621-3064
Mailing address
60 GLENWOOD LN, ROSLYN HEIGHTS, NY 11577-1411
(516) 621-1025
(516) 621-3064

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
007276-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0073403
GHI PROVIDER NUMBER
01
077594
VALUE OPTIONS
NY
01
236510
MHN PROVIDER NUMBER
05
V26521
NY
Enumeration date
09/14/2005
Last updated
07/09/2007
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