Individual
DR. ARTHUR I GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
945 5TH AVE OFC 6, NEW YORK, NY 10021-2667
(212) 249-0030
(212) 744-2413
Mailing address
1500 ROUTE 112, BLDG 4, PORT JEFFERSON STATION, NY 11776-8055
(631) 751-3000
(631) 509-6559
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
107855
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-3005891
TAX ID
NY
01
—
133005891
TAX ID
NY
01
—
971001
EMPIRE BLUE CROSS SHEILD
NY
01
—
NS3165
OXFORD HEALTH PLAN ID
NY
Enumeration date
04/07/2006
Last updated
12/16/2019
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