Individual provider · NPI-1

Warren Goldberg, Ph.D.

Psychologist, Clinical · Hewlett, NY

NPI number1104033554
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1104033554
Entity type
Individual (NPI-1)
Name
Warren Goldberg
Credential
Ph.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
May 16, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical010735NYYes

Practice location

1472 Moffitt Ave
Hewlett, NY 11557-1516

Phone 917-952-0942

Mailing address

Po Box 482
Hewlett, NY 11557-0482

Phone 917-952-0942

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