Individual
DR. BRIAN GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., BCBA-D
Contact information
Practice address
283 COMMACK RD, SUITE 205, COMMACK, NY 11725-6021
(516) 848-8551
Mailing address
283 COMMACK RD, SUITE 205, COMMACK, NY 11725-6021
(516) 848-8551
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
017826
NY
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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