Individual
OLGA GOLDENGORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
1300 AVENUE P, BROOKLYN, NY 11229-1106
(718) 954-3800
(718) 954-3767
Mailing address
9954 63RD AVE, REGO PARK, NY 11374-1943
(718) 459-5738
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20566
NY
Other
Enumeration date
12/23/2010
Last updated
12/23/2010
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