Individual
MR. OWEN GOLDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRPA-P
Contact information
Practice address
213 W 35TH ST, NEW YORK, NY 10001-1903
(212) 576-4104
Mailing address
2330 BRONX PARK E APT 5B, BRONX, NY 10467-7573
(917) 673-7435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CRPA-P-8545
NY
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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