Individual
JUSTIN ZACH GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
600 E 233RD ST, BRONX, NY 10466-2604
(718) 920-9000
Mailing address
600 E 233RD ST, BRONX, NY 10466-2604
(718) 920-9000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
NY
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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