Martin Jay Golloub, LCSW, BCD Valid NPI

Individual provider · Clinical Social Worker · Glen Cove, NY

NPI

1659523926

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

PR014204-1 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2008-10-17

Last updated

2008-10-17