Goldman, Jillian

Goldman, Jillian is an individual health care provider with primary practice located at 1156 N Broadway Andrus Children'S Center, Yonkers NY 10701-1108. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Goldman, Jillian can be contacted via phone (914) 965-3700.

Contact Information

Primary practice address
1156 N Broadway Andrus Children'S Center Yonkers NY 10701-1108
Phone: (914) 965-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1710297726
LBN Legal business name Goldman, Jillian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2010
Last updated Oct 12th, 2010 - about 14 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 1710297726 NPPES
New York Other 00745088 AGENCY'S MEDICAID MMIS #
New York Other 1003991019 AGENCY'S MEDICAID MMIS #

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