Martin Jay Golloub LCSW, BCD

NPI 1659523926 - Social Worker - 1041C0700X

NPI Details
NPI 1659523926
Gender Male
Enumeration Date 10/17/2008
Last Updated 10/17/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
66 SUGAR MAPLE LN
GLEN COVE NY, 11542-1632, US
Phone (516) 676-3830
Fax (516) 759-9503
Business Location
66 SUGAR MAPLE LN
GLEN COVE NY, 11542-1632, US
Phone (516) 676-3830
Fax (516) 759-9503
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number PR014204-1
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According to our database, Martin Jay Golloub LCSW, BCD NPI is 1659523926, taxonomy code is 1041C0700X and license number is PR014204-1, license state is located at New York. Martin Jay Golloub LCSW, BCD physically located at 66 Sugar Maple Ln, Glen Cove NY, 11542-1632. NPI Number Martin Jay Golloub LCSW, BCD has the Individual type.

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1659523926 NPI number is provided on an as is basis without warranty of any kind. 1659523926 is maintained by the National Plan & Provider Enumeration System. The contents of Martin Jay Golloub LCSW, BCD are for informational purposes only.