Provider Demographics
NPI:1790098085
Name:GOLDSTEIN, SHERYL ZAHAVA (MS)
Entity Type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:ZAHAVA
Last Name:GOLDSTEIN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:ZAHAVA
Other - Middle Name:SHERYL
Other - Last Name:GOLDSTEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:376 LONGACRE AVE
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-2417
Mailing Address - Country:US
Mailing Address - Phone:718-288-7107
Mailing Address - Fax:516-837-0151
Practice Address - Street 1:376 LONGACRE AVE
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-2417
Practice Address - Country:US
Practice Address - Phone:718-288-7107
Practice Address - Fax:516-837-0151
Is Sole Proprietor?:No
Enumeration Date:2010-07-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool