Organization
MARK GOLDBERG PROSTHETIC & ORTHOTIC LABS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK E. GOLDBERG C.P.O. (DIRECTOR/OWNER)
(631) 689-6606
Entity
Organization
Contact information
Practice address
2545 HEMPSTEAD TPKE, SUITE 305, EAST MEADOW, NY 11554-2194
(631) 689-6606
Mailing address
9 TECHNOLOGY DR, EAST SETAUKET, NY 11733-4000
(631) 689-6606
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/16/2011
Last updated
05/11/2023
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