Individual
MRS. ANN S GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
47 STRULLY DR, MASSAPEQUA PARK, NY 11762-4041
(516) 798-9113
Mailing address
47 STRULLY DR, MASSAPEQUA PARK, NY 11762-4041
(516) 798-9113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R022067
NY
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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