Organization
MARK GOLDBERG PROSTHETIC & ORTHOTIC LABS, INC.
Active
Parent organization
MARK GOLDBERG PROSTHETIC & ORTHOTIC LABS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARK GOLDBERG PROSTHETIC & ORTHOTIC LABS, INC.
Authorized official
JOSHUA RYAN GOLDBERG (OPERATIONS MANAGE)
(631) 689-6606
Entity
Organization
Contact information
Practice address
5905 69TH ST, MASPETH, NY 11378-2946
(631) 689-6606
Mailing address
9 TECHNOLOGY DR, EAST SETAUKET, NY 11733-4000
(631) 689-6606
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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