Individual
JEFFREY GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 N 12TH ST STE 507, BROOKLYN, NY 11249-1002
(646) 450-6831
Mailing address
109 N 12TH ST STE 507, BROOKLYN, NY 11249-1002
(646) 450-6831
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024068
NY
Other
Enumeration date
01/25/2021
Last updated
08/24/2021
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