Individual
ELISHA TAL GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1757 MERRICK AVE STE 106, MERRICK, NY 11566-2717
(516) 247-6449
(516) 407-2898
Mailing address
1757 MERRICK AVE STE 106, MERRICK, NY 11566-2717
(516) 247-6449
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
012413-01
NY
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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