Provider Demographics
NPI:1336985100
Name:GOLDMAN, HILLARY F (MSED)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:F
Last Name:GOLDMAN
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 E 17TH ST APT 4G
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-4643
Mailing Address - Country:US
Mailing Address - Phone:240-447-6768
Mailing Address - Fax:
Practice Address - Street 1:222 E 17TH ST APT 4G
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-4643
Practice Address - Country:US
Practice Address - Phone:240-447-6768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency