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General NPI Number Information
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NPI Number | 1346066628
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Entity Type | Organization
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Legal Business Name | D. GOLDFARB PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 750 VETERANS MEMORIAL HWY STE 205
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City | HAUPPAUGE
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State | NY
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Zip | 11788-2943
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Country | US
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Telephone | 631-724-5522
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Fax | 631-724-5546
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Provider Business Mailing Address
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Address Line | 23 HOLLY BERRY CT
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City | WADING RIVER
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State | NY
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Zip | 11792-2157
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Country | US
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Telephone | 631-974-4242
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Fax | 631-724-5546
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL A GOLDFARB
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Credential | PH.D.
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Telephone | 631-974-4242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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