Individual
JEFFREY WARD GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
1033 GREEN ACRES MALL, VALLEY STREAM, NY 11581-1531
(516) 825-8990
(516) 872-2702
Mailing address
836 VAN BUREN ST, BALDWIN, NY 11510-4652
(516) 825-8990
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
004302
NY
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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