Individual
DR. ALIZA GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
928 BROADWAY STE 300, NEW YORK, NY 10010-8158
(917) 605-2120
Mailing address
14132 70TH AVE, FLUSHING, NY 11367-1928
(516) 754-6631
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P107392
NY
103TC0700X
Clinical Psychologist
P107392
NY
Other
Enumeration date
10/21/2020
Last updated
12/16/2020
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