Most Relevant Information
Provider Data
| NPI Number: | 1003337510 |
| Provider Name: | WENDI LISA GOLDSTEIN PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TS0200X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/06/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
1428 5TH AVE
BAY SHORE
NY
117064147
Practice Location Phone/Fax
| Phone: | 6316651900 |
| Fax: | 6316651377 |
Provider Mailing Location
1428 5TH AVE
BAY SHORE
NY
117064147
Provider Mailing Phone/Fax
| Phone: | 6316651900 |
| Fax: | 6316651377 |