Goldberg, Craig R

Goldberg, Craig R is an individual health care provider with primary practice located at 1 Atwell Rd , Cooperstown NY 13326-1301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Goldberg, Craig R can be contacted via phone (607) 547-3334.

Contact Information

Primary practice address
1 Atwell Rd Cooperstown NY 13326-1301
Fax: (607) 547-4786
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 206462 New York

Profile Details

NPI number 1811951387
LBN Legal business name Goldberg, Craig R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated May 20th, 2021 - about 3 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 1811951387 NPPES
New York MEDICAID 02312274

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