Individual
DR. GARY IRA GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10420 QUEENS BLVD, SUITE 1W, FOREST HILLS, NY 11375-3629
(718) 459-7575
(718) 897-8604
Mailing address
10420 QUEENS BLVD, SUITE 1W, FOREST HILLS, NY 11375-3629
(718) 459-7575
(718) 897-8604
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X002005
NY
Other
Enumeration date
07/18/2006
Last updated
12/28/2011
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