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Individual

BASYA R GOLDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
658 CROWN ST, BROOKLYN, NY 11213-5304
(917) 744-2166
Mailing address
658 CROWN ST, BROOKLYN, NY 11213-5304
(917) 744-2166

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NY

Other

Enumeration date
11/16/2012
Last updated
07/21/2022
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