Individual
JEFFREY A GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
32-34 MAIN ST, STAMFORD, NY 12167-1145
(607) 652-2000
(607) 652-2433
Mailing address
32-34 MAIN ST, STAMFORD, NY 12167-1145
(607) 652-2000
(607) 652-2433
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4594
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
580869
—
NY
Enumeration date
01/14/2007
Last updated
07/08/2007
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