Goeller, Myra

Goeller, Myra is an sole proprietor health care provider with primary practice located at 233 Seventh Ave Suite 200, Garden City NY 11530-5747. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Goeller, Myra can be contacted via phone (516) 676-1722.

Contact Information

Primary practice address
233 Seventh Ave Suite 200 Garden City NY 11530-5747
Phone: (516) 676-1722
Fax: (516) 676-4250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6674 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X R049409-2 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X R049409 New York

Profile Details

NPI number 1750445185
LBN Legal business name Goeller, Myra
Credentials MSW LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Jul 8th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750445185 NPPES
New York Other 7482515 GHI-BMP CITY OF NY
New York Other 156994 GHI-BMP CITY OF NY
New York Other 2108404 GHI-BMP CITY OF NY
New York MEDICAID 02455392 GHI-BMP CITY OF NY
New York Other 100674P GHI-BMP CITY OF NY
New York Other 049409-B37 GHI-BMP CITY OF NY

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