DEBERAH S GOLDMAN


Address: 12 Garden St, Great Neck, NY 11021-2524
Phone: 5164877087

DEBERAH S GOLDMAN (NPI# 1194857854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194857854
Entity Type Individual
Full Name DEBERAH S GOLDMAN
Credential PH.D
Practice Address 12 Garden St
Great Neck
NY 11021-2524
Practice Telephone 5164877087
Practice Fax Number 5164877087
Mailing Telephone 5164877087
Mailing Fax Number 5164877087
Enumeration Date 2007-03-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
008577 NY Behavioral Health & Social Service Providers

Office Location

Street Address 12 GARDEN ST
City GREAT NECK
State NY
Zip Code 11021-2524

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801355581 Jennifer Cain Psychologist 310 East Shore Rd. Suite 100, Great Neck, NY 11023 2019-03-13
1760972319 Thomas Edward Coghlan Psychologist 8 Bond St Ste 400, Great Neck, NY 11021-2418 2018-05-18
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1093144206 Lisa Rosenzweig Psychologist 89 Red Brook Rd, Great Neck, NY 11024-1150 2013-11-07
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1255633921 Craig Seth Gootman Psychologist 105 Clover Dr, Pupil Personnel Services - Great Neck Public Schools, Great Neck, NY 11021-1031 2010-12-01
1225274731 Kathie Kraner Rudy Psychologist 35 Whitman Rd, Great Neck, NY 11023-1827 2009-01-05
1982884276 Nira Suri Nafisi Psychologist 29 Barstow Rd Ste 102, Great Neck, NY 11021-2209 2007-11-05
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Competitor

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City GREAT NECK
Zip Code 11021

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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