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Dr. Steven M Goldberg

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NPI Number Detailed Information

Provider Information:

Name: Dr. Steven M Goldberg
Gender: M
Provider License Number If Given: 144482

NPI Information:

NPI: 1205839255
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 4/4/2011

Provider Business Mailing Address:

Address: 1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
Phone Number: 5163902430
Fax Number: 5164827955

Provider Business Practice Location Address:

Address: 1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
Phone Number: 5163902430
Fax Number: 5164827955

Provider Taxonomy:

Primary: 207RC0000X
Secondary (if any):
State: NY

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