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Individual

DR. JEFFREY ALAN GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
175 JERICHO TPKE, SYOSSET, NY 11791-4532
(516) 921-2880
(516) 921-2889
Mailing address
175 JERICHO TPKE, SYOSSET, NY 11791-4532
(516) 921-2880
(516) 921-2889

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
041527
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01501266
NY
Enumeration date
11/19/2005
Last updated
07/08/2007
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