Doctor Name: | DR. JEFFREY HOWARD GOIDEL |
NPI Number: | 1609822923 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 008917 |
Business Practice Address: | 25 Hemlock Dr Congers, NY - 109201401 |
Business Phone Number: | 8452670110 |
Business Fax Number: | 8452672634 |
Mailing Address: | 7 Windgate Dr, NEW CITY |
State: | NY |
Postal Code: | 109564434 |
Phone Number: | 8456380198 |
Fax Number: | |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 03/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 008917 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |