GOLDENBERG DERMATOLOGY PC NPI 1720526007

NPI Information

GOLDENBERG DERMATOLOGY, PC is a specialist in New York, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GOLDENBERG DERMATOLOGY, PC NPI is 1720526007. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14 E 75TH ST
1B
NEW YORK, NY
ZIP 10021-625
Phone: (917) 209-9940

The provider's authorized official is Gary Goldenberg .
The authorized official title is President and has the following contact phone number (917) 209-9940.

The CLIA number assigned to this NPI record is 33D2145482 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/7/2017 and was last updated on 2/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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