Individual
DR. MICHAEL ELLIS GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 W 168TH STREET, NEW YORK, NY 10032-2699
(212) 543-6931
(212) 543-5816
Mailing address
710 W 168TH STREET, NEW YORK, NY 10032-2699
(212) 543-6931
(212) 543-5816
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
225939-1
NY
208M00000X
Hospitalist Physician
Primary
225939
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02702298
—
NY
Enumeration date
09/20/2006
Last updated
03/26/2020
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