Individual
MRS. AYELET PELMAN GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MFT
Contact information
Practice address
6143 186TH ST STE 312, FRESH MEADOWS, NY 11365-2710
(917) 923-7644
Mailing address
6143 186TH ST STE 312, FRESH MEADOWS, NY 11365-2710
(917) 923-7644
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
081948-1
NY
Other
Enumeration date
04/13/2011
Last updated
04/16/2018
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