Individual
MARISSA GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-3570
(718) 334-5006
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-3570
(718) 334-5006
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
310887
NY
Other
Enumeration date
07/20/2016
Last updated
07/16/2021
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