Individual
REBECCA GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 OLD MILL LN, ARDSLEY, NY 10502-1510
(914) 815-0372
Mailing address
20 OLD MILL LN, ARDSLEY, NY 10502-1510
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
309086
NY
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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