Individual
DR. GARY M GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
15 BOND STREET, SUITE 105, GREAT NECK, NY 11021
(516) 466-6823
Mailing address
15 BOND STREET, SUITE 105, GREAT NECK, NY 11021
(516) 466-6823
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11014
NY
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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