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Individual

MR. JAY GALBRAITH GOULD JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH D

Contact information

Practice address
11021 73RD ROAD, 1J, FOREST HILLS, NY 11375
(516) 759-1979
(516) 759-1979
Mailing address
5 SALEM WAY, GLEN HEAD, NY 11545-1136
(516) 759-1979
(516) 759-1979

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
006296
NY

Other

Enumeration date
07/20/2006
Last updated
10/28/2008
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