Individual
MR. JAMES SAMUEL GOLDSTEIN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1643 GENESEE ST, UTICA, NY 13501-4733
(315) 724-5173
(315) 724-5323
Mailing address
5504 S LEBANON RD, EARLVILLE, NY 13332-3146
(315) 691-3311
(315) 724-5323
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000003
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040426031795
FIDELLIS
NY
01
—
562927
VALUE OPTIONS
NY
Enumeration date
02/23/2007
Last updated
07/08/2007
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