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Individual

MISS MIRIAM ZLATA GOLDBURD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
4809 14TH AVENUE, BROOKLYN, NY 11219
(718) 972-7432
(718) 972-1661
Mailing address
1540 EAST 36TH STREET, BROOKLYN, NY 11234
(718) 614-5578
(718) 972-1661

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
012888
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
012888
LICENSE NUMBER
NY
Enumeration date
11/26/2008
Last updated
04/28/2021
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