Individual
MR. ALEXANDER M GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
352 7TH AVE RM 306, NEW YORK, NY 10001-5075
(212) 337-9990
Mailing address
28 RIVERSIDE AVE APT 2G, RED BANK, NJ 07701-1046
(917) 640-5260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
120735-01
NY
1041C0700X
Clinical Social Worker
Primary
44SC06266600
NJ
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/08/2023
Last updated
05/08/2024
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