| Doctor Name: | DR. MARJORIE GOLDIN |
| NPI Number: | 1659663516 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 5423760 |
| Business Practice Address: | 50 Spence Avenue Tamarac Elementary School Holtsville, NY - 117421929 |
| Business Phone Number: | 6312445680 |
| Business Fax Number: | |
| Mailing Address: | 74 Deforest Rd, DIX HILLS |
| State: | NY |
| Postal Code: | 117464809 |
| Phone Number: | 6314998322 |
| Fax Number: | |
| NPI Enumeration Date: | 05/11/2011 |
| NPI Last Update Date: | 05/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | 5423760 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |