Individual
STEVEN PERRY GOLDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 MARCUS AVE, SUITE N18, LAKE SUCCESS, NY 11042-1011
(516) 775-7770
(516) 775-8080
Mailing address
2001 MARCUS AVE, SUITE N18, LAKE SUCCESS, NY 11042-1011
(516) 775-7770
(516) 775-8080
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
167361
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01502345
—
NY
Enumeration date
06/12/2006
Last updated
02/23/2009
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