Individual
MRS. AVIVA GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
322 JORDAN AVE, WOODMERE, NY 11598-2525
(516) 569-0833
Mailing address
322 JORDAN AVE, WOODMERE, NY 11598-2525
(516) 569-0833
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
007986-1
NY
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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