Organization
TRADITIONAL AND ALTERNATIVE MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRIGORIY GOLDENBERG (PRESIDENT)
(917) 692-8241
Entity
Organization
Contact information
Practice address
2 W END AVE, BROOKLYN, NY 11235-4848
(718) 332-5268
Mailing address
20939 23RD AVE APT 2E, BAYSIDE, NY 11360-1831
(718) 224-5935
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
207101
NY
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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