Goldberg, Gabrielle R

Goldberg, Gabrielle R is an individual health care provider with primary practice located at 1983 Marcus Ave Suite C102, New Hyde Park NY 11042-2000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Goldberg, Gabrielle R can be contacted via phone (516) 876-4100.

Contact Information

Primary practice address
1983 Marcus Ave Suite C102 New Hyde Park NY 11042-2000
Phone: (516) 876-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 222028 New York
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 222028-1 New York

Profile Details

NPI number 1447290614
LBN Legal business name Goldberg, Gabrielle R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Mar 6th, 2014 - about 10 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 1447290614 NPPES
New York MEDICAID 02772829

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