Individual
TATYANA GOYKHBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4190 SUNRISE HIGHWAY, SUITE A, MASSAPEQUA, NY 11758
(516) 765-7799
(334) 212-0233
Mailing address
4190 SUNRISE HIGHWAY, SUITE A, MASSAPEQUA, NY 11758
(516) 765-7799
(334) 212-0233
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402843
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
402843
STATE LICENSE
NY
Enumeration date
09/26/2019
Last updated
11/20/2025
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