Individual
MRS. CHANI GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4206 15TH AVE, BROOKLYN, NY 11219-1512
(718) 851-4000
Mailing address
1451 48TH ST, BROOKLYN, NY 11219-3244
(718) 633-3299
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016657-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016657-1
NYS LICENSE
NY
Enumeration date
10/18/2010
Last updated
10/18/2010
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