Individual
ROBERT THEODORE GOLDBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
142-10B ROOSEVELT AVE, FLUSHING, NY 11354-6046
(718) 539-2992
(718) 539-0284
Mailing address
142-10B ROOSEVELT AVE, FLUSHING, NY 11354-6046
(718) 539-2992
(718) 539-0284
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
080206
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00113997
—
NY
Enumeration date
01/04/2006
Last updated
07/08/2007
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