Individual
ELISHEVA GOLDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-8282
Mailing address
14435 76TH AVE, FLUSHING, NY 11367-3115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F349540
NY
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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