Individual
ANNA GOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
NYMC BEHAVIORAL HEALTH CENTER ROOM N326, 95 GRASSLANDS ROAD, VALHALLA, NY 10595
(914) 493-7124
(914) 493-1015
Mailing address
NYMC BEHAVIORAL HEALTH CENTER ROOM N326, 95 GRASSLANDS ROAD, VALHALLA, NY 10595
(914) 493-7124
(914) 493-1015
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
212646
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
212646
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02073072
—
NY
Enumeration date
08/10/2006
Last updated
04/10/2008
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