Goldberg, Barry Edward

Goldberg, Barry Edward is an individual health care provider with primary practice located at 1111 Montauk Hwy , West Islip NY 11795-4910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Goldberg, Barry Edward can be contacted via phone (631) 376-4098.

Contact Information

Primary practice address
1111 Montauk Hwy West Islip NY 11795-4910
Phone: (631) 376-4098
Fax: (631) 376-3547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 180384 New York

Profile Details

NPI number 1528063344
LBN Legal business name Goldberg, Barry Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Feb 12th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528063344 NPPES
New York MEDICAID 01593315
New York Other 17L631
New York Other 86769
New York Other S58003
New York Other 2101425
New York Other 529661
New York Other 940143
New York Other 1C2998
New York Other 040426010631
New York Other AG48955
New York Other 010180384NY01
New York Other 5737050
New York Other DS691

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