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Contact Information

GOLDIE M JURAREL, MSE.
61 LAUREL PARK ROAD
APT H5
FALLSBURG, NY12733
 Phone: 845-423-8970
 Fax: 845-434-5696
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GOLDIE M JURAREL · (Female)

NPI # 1346688082
Status Active
Credentials MSE.
Entity Individual
Enumeration date 06/04/2013
Last updated 06/04/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 217528150
  • NY Medicaid ET881535
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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