Organization
PSYCHOLOGICAL RESTORATIVE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT I GOLDMAN JD, PSYD (OWNER)
(631) 499-7500
Entity
Organization
Contact information
Practice address
283 COMMACK RD STE 210, COMMACK, NY 11725-3400
(631) 499-7500
Mailing address
283 COMMACK RD STE 210, COMMACK, NY 11725-3400
(631) 499-7500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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