Individual
JESSICA ETKIN GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
FIRST AVENUE AT 16TH STREET, NEW YORK, NY 10003
(212) 844-1808
Mailing address
1 GUSTAVE L LEVY PL # 1118, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME149955
FL
208M00000X
Hospitalist Physician
Primary
320181
NY
390200000X
Student in an Organized Health Care Education/Training Program
TRN26062
FL
Other
Enumeration date
04/16/2018
Last updated
02/07/2023
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