Individual
JONATHAN S GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
185 ROUTE 312, BREWSTER, NY 10509-2337
(845) 231-5600
(845) 231-5489
Mailing address
110 S BEDFORD RD, CAREMOUNT MEDICAL PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 242-1516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
201960
NY
207RH0003X
Hematology & Oncology Physician
Primary
201960
NY
207RX0202X
Medical Oncology Physician
201960
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02138498
—
NY
01
—
0667910001
DME
NY
01
—
P00232099
MEDICARE RAILROAD
NY
Enumeration date
05/18/2006
Last updated
11/17/2016
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