Individual
MS. SARA ELLEN GOOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
275 MADISON AVE STE 629, NEW YORK, NY 10016-1155
(203) 247-9305
Mailing address
53 WELLSFORD DR, GOSHEN, CT 06756-1817
(203) 247-9305
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000781
NY
102L00000X
Psychoanalyst
—
—
103TP0814X
Psychoanalysis Psychologist
000781
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N615LI
BLUE CROSS BLUE SHIELD
NY
Enumeration date
12/06/2007
Last updated
06/14/2019
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