Organization
GARY GOLDBERG PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY IRA GOLDBERG (CHIROPRACTOR)
(718) 459-7575
Entity
Organization
Contact information
Practice address
10420 QUEENS BLVD, FOREST HILLS, NY 11375-3629
(718) 459-7575
(718) 897-8604
Mailing address
10420 QUEENS BLVD, FOREST HILLS, NY 11375-3629
(718) 459-7575
(718) 897-8604
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X002005
NY
Other
Enumeration date
12/28/2011
Last updated
01/04/2012
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