Individual
LEONID GOLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1608 AVENUE O, #1, BROOKLYN, NY 11230-6712
(718) 375-3572
(718) 375-3572
Mailing address
1608 AVENUE O, #1, BROOKLYN, NY 11230-6712
(718) 375-3572
(718) 375-3572
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044834
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01453492
—
NY
Enumeration date
01/05/2007
Last updated
07/08/2007
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