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Individual

DR. CHARLES GOLDENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2624
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(212) 434-2624

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
267911
NY
207U00000X
Nuclear Medicine Physician
30544
OK
2085B0100X
Body Imaging Physician
267911
NY
2085R0202X
Diagnostic Radiology Physician
Primary
267911
NY
2085R0202X
Diagnostic Radiology Physician
A166076
CA
2085R0204X
Vascular & Interventional Radiology Physician
267911
NY

Other

Enumeration date
05/12/2010
Last updated
08/13/2022
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