Individual
MR. IRA GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
14 ST.AUSTIN'S PL., STATEN ISLAND, NY 10310-1540
(718) 720-8849
(347) 532-1324
Mailing address
14 ST.AUSTIN'S PL., STATEN ISLAND, NY 10310-1540
(718) 720-8849
(347) 532-1324
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000342-1
NY
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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