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Organization
GOLDENBERG DERMATOLOGY, PC
Active
Organization
GOLDENBERG DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY GOLDENBERG MD (PRESIDENT)
(917) 209-9940
Entity
Organization
Contact information
Practice address
14 E 75TH ST, 1B, NEW YORK, NY 10021-2625
(917) 209-9940
Mailing address
14 E 75TH ST, 1B, NEW YORK, NY 10021-2625
(917) 209-9940
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
250770
NY
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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