Goldstein, Nancy R

Goldstein, Nancy R is an sole proprietor health care provider with primary practice located at 12 Deering St , East Setauket NY 11733-3909. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goldstein, Nancy R can be contacted via phone (631) 941-4704.

Contact Information

Primary practice address
12 Deering St East Setauket NY 11733-3909
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R-031744-1 New York

Profile Details

NPI number 1497816771
LBN Legal business name Goldstein, Nancy R
Credentials LCSW-R
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Jul 8th, 2007 - about 17 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 1497816771 NPPES
New York Other R-031744-1 SOCIAL WORK LICENSE

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