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Individual

DR. BRIAN SCOTT GOLDBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
49 BERRY HILL RD, SYOSSET, NY 11791-2624
(516) 921-3566
(516) 921-3285
Mailing address
49 BERRY HILL RD, SYOSSET, NY 11791-2624
(516) 921-3566
(516) 921-3285

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008932
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5897376
GHI
NY
01
P3647139
OXFORD
NY
01
X02D9
BCBS
NY
Enumeration date
10/16/2006
Last updated
07/08/2007
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