Individual
MR. ROSS PHILLIP GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
5676 RIVERDALE AVE, 202, BRONX, NY 10471-2138
(718) 796-5300
(718) 548-1161
Mailing address
5676 RIVERDALE AVE, 202, BRONX, NY 10471-2138
(718) 796-5300
(718) 548-1161
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13229
NY
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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