Individual
MR. NEIL S GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 PONDFIELD ROAD, BRONXVILLE, NY 10708
(914) 337-4499
(914) 337-7082
Mailing address
77 PONDFIELD ROAD, BRONXVILLE, NY 10708
(914) 337-4499
(914) 337-7082
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
165846
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027416
GHI
—
01
—
0487545
AETNA
—
01
—
4205471
AETNA
—
01
—
6439888001
CIGNA
—
01
—
74D791
EMPIRE BCBS
—
01
—
WP0108
HEALTHNET
—
01
—
WS0000646
SELECT PROVIDERS INC
—
01
—
WS1090
OXFORD
—
Enumeration date
10/21/2006
Last updated
07/08/2007
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