Individual
BARRY EDWARD GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 MONTAUK HWY, WEST ISLIP, NY 11795-4910
(631) 376-4098
(631) 376-3547
Mailing address
1111 MONTAUK HWY, WEST ISLIP, NY 11795-4910
(631) 376-4098
(631) 376-3547
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
180384
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010180384NY01
ANTHEM HEALTH
NY
05
—
01593315
—
NY
01
—
040426010631
FIDELIS
NY
01
—
17L631
BLUE CROSS BLUE SHIELD
NY
01
—
1C2998
HEALTHNET
NY
01
—
2101425
GHI
NY
01
—
529661
AETNA MANAGED CARE
NY
01
—
5737050
AETNA/US HEALTHCARE
NY
01
—
86769
VYTRA HEALTHCARE
NY
01
—
940143
CHAMPUS
NY
01
—
AG48955
MDNY HEALTHCARE
NY
01
—
DS691
OXFORD HEALTH PLAN
NY
01
—
S58003
SUFFOLK HEALTH PLAN
NY
Enumeration date
06/17/2005
Last updated
02/12/2008
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