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Individual

MRS. ANNA GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18 SEAGATE CT, STATEN ISLAND, NY 10305-4756
(718) 876-0865
Mailing address
18 SEAGATE CT, STATEN ISLAND, NY 10305-4756
(718) 876-0865

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1373729
NY

Other

Enumeration date
06/11/2012
Last updated
06/11/2012
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