Goold, Sara Ellen
Goold, Sara Ellen is an sole proprietor health care provider with primary practice located at 275 Madison Ave Ste 629 , New York NY 10016-1155. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Psychoanalysis. Behavioral Health & Social Service Providers / Psychoanalyst is her primary health care specialty. Goold, Sara Ellen can be contacted via phone (203) 247-9305.Contact Information
Primary practice address
275 Madison Ave Ste 629
New York NY 10016-1155
Phone: (203) 247-9305
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychoanalyst | 102L00000X | ||
| Behavioral Health & Social Service Providers / Psychoanalysis | 103TP0814X | 000781 | New York |
| Behavioral Health & Social Service Providers / Psychoanalyst | 102L00000X | 000781 | New York |
Profile Details
| NPI number | 1255514857 |
|---|---|
| LBN Legal business name | Goold, Sara Ellen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2007 |
| Last updated | Jun 14th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255514857 | NPPES |
| New York | Other | N615LI | BLUE CROSS BLUE SHIELD |
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