Provider Demographics
NPI:1780916643
Name:GOLDMAN, GILIAN N (PSYD)
Entity type:Individual
Prefix:DR
First Name:GILIAN
Middle Name:N
Last Name:GOLDMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 E POST RD
Mailing Address - Street 2:105
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-5207
Mailing Address - Country:US
Mailing Address - Phone:914-682-8815
Mailing Address - Fax:914-682-8815
Practice Address - Street 1:151 E POST RD
Practice Address - Street 2:105
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-5207
Practice Address - Country:US
Practice Address - Phone:914-682-8815
Practice Address - Fax:914-682-8815
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015814-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical