Individual
MRS. BETH R GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
878 E 27TH ST, BROOKLYN, NY 11210-2842
(718) 338-4464
Mailing address
878 E 27TH ST, BROOKLYN, NY 11210-2842
(718) 338-4464
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1476293
NY
Other
Enumeration date
08/17/2012
Last updated
08/17/2012
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