Organization
EAST END ENDOCRINE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN GOLDENBERG M.D. (PRESIDENT)
(631) 288-7120
Entity
Organization
Contact information
Practice address
189 MAIN RD, RIVERHEAD, NY 11901-1901
(631) 288-7120
(631) 288-7124
Mailing address
189 MAIN RD, RIVERHEAD, NY 11901-1901
(631) 288-7120
(631) 288-7124
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
201208
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01800471
—
NY
Enumeration date
05/22/2006
Last updated
10/12/2012
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