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Individual

DR. ARLENE H RUPP-GOOLNICK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
769 WILSON ST, N WOODMERE, NY 11581-3527
(516) 791-5350
(212) 925-2935
Mailing address
769 WILSON ST, N WOODMERE, NY 11581-3527
(516) 791-5350
(212) 925-2935

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8459
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0046276
GHI
NY
05
00994638
NY
Enumeration date
08/17/2005
Last updated
07/08/2007
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