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Individual

BARI GOLTZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
58-20 LITTLE NECK PARKWAY, LITTLE NECK, NY 11362-2530
(718) 224-0566
(718) 224-7544
Mailing address
245-46 76TH AVE., APT# A, BELLEROSE, NY 11426-0000
(718) 224-0566
(718) 224-7544

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
084412-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
084412-1
STATE LICENSE
NY
Enumeration date
01/30/2012
Last updated
01/30/2012
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