Individual
DR. BARRY GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
517 DEER PARK RD, DIX HILLS, NY 11746-5207
(631) 423-9100
Mailing address
517 DEER PARK RD, DIX HILLS, NY 11746-5207
(631) 423-9100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
152301
NY
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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