Individual
DR. MICHAEL R GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
243 NASSAU BLVD, GARDEN CITY, NY 11530-5532
(347) 694-5655
Mailing address
243 NASSAU BLVD, GARDEN CITY, NY 11530-5532
(347) 694-5655
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020798-1
NY
Other
Enumeration date
08/22/2014
Last updated
02/27/2019
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