GOLDENBERG DERMATOLOGY PC NPI 1720526007

NPI Information

  • NPI: 1720526007
  • Provider Name: GOLDENBERG DERMATOLOGY, PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 33D2145482
  • Address: 14 E 75TH ST
    1B
    NEW YORK, NY
    ZIP 10021
  • Phone: (917) 209-9940

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NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist250770NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A40008021MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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