Individual
YTHAN HAINES GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1825 EASTCHESTER RD, 1ST FLOOR, BRONX, NY 10461-2301
(718) 904-2927
(718) 904-2075
Mailing address
669 OGDEN AVE, TEANECK, NJ 07666-2203
(201) 357-4329
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
244203
NY
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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