Provider Demographics
NPI:1225845118
Name:AUMILLER/GOLDFARB PSYCHOLOGICAL SERVICES
Entity type:Organization
Organization Name:AUMILLER/GOLDFARB PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDFARB
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:631-724-5522
Mailing Address - Street 1:23 HOLLY BERRY CT
Mailing Address - Street 2:
Mailing Address - City:WADING RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:11792-2157
Mailing Address - Country:US
Mailing Address - Phone:631-974-4242
Mailing Address - Fax:631-724-5546
Practice Address - Street 1:750 VETERANS MEMORIAL HWY STE 205
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-2943
Practice Address - Country:US
Practice Address - Phone:631-724-5522
Practice Address - Fax:631-724-5546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health