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Individual

MS. JOAN B GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
690 BROADWAY, SUITE 1 1ST FLOOR, MASSAPEQUA, NY 11758
(718) 258-5439
(718) 258-5439
Mailing address
505 ELMWOOD AVENUE, #5K, BROOKLYN, NY 11230
(718) 258-5439
(718) 258-5439

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
005322
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0029720
VALUE OPTIONS INSURANCE
NY
01
0029720
GHI INSURANCE
01
00532268
HIP INSURANCE
NY
01
P1252361
OXFORD INSURANCE
NY
Enumeration date
10/02/2006
Last updated
07/08/2007
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