| Doctor Name: | MRS. GERALDINE VICKI GOLDMAN |
| NPI Number: | 1427275700 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRC |
| License Number: | 00003406 |
| Business Practice Address: | 9502 Rockaway Beach Blvd Rockaway Beach, NY - 116931317 |
| Business Phone Number: | 7184742478 |
| Business Fax Number: | |
| Mailing Address: | 3111 Trinity St, OCEANSIDE |
| State: | NY |
| Postal Code: | 115723222 |
| Phone Number: | 5167645744 |
| Fax Number: | |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 00003406 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |