Individual
ALAN GOLDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
189 MAIN RD, RIVERHEAD, NY 11901-1901
(631) 288-7120
(631) 288-7124
Mailing address
189 MAIN RD STE F, RIVERHEAD, NY 11901-1957
(631) 288-7120
(631) 288-7124
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
201208
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01800471
—
NY
Enumeration date
03/25/2006
Last updated
02/25/2021
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