Individual
DR. BONNIE GOLDBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
111 E 80TH ST, SUITE 1D, NEW YORK, NY 10075-0334
(212) 249-0860
Mailing address
111 E 80TH ST, SUITE 1D, NEW YORK, NY 10075-0334
(212) 249-0860
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
017588
NY
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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