Individual
LEONARD A GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
333 ROUTE 25A STE 225, ROCKY POINT, NY 11778-8802
(631) 744-0396
Mailing address
5 MESA RD, SYOSSET, NY 11791-6922
(516) 931-0406
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
490761
NY
Other
Enumeration date
07/26/2006
Last updated
01/06/2022
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