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Individual

GABRIELLE R GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1983 MARCUS AVE, SUITE C102, NEW HYDE PARK, NY 11042-2000
(516) 876-4100
Mailing address
1983 MARCUS AVE, SUITE C102, NEW HYDE PARK, NY 11042-2000
(516) 876-4100

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
222028
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
222028-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02772829
NY
Enumeration date
06/07/2006
Last updated
03/06/2014
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