Goldberg, Joel B.

Goldberg, Joel B. is an individual health care provider with primary practice located at 2 Cambridge Rd , Monsey NY 10952-1305. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Goldberg, Joel B. can be contacted via phone (845) 362-3538.

Contact Information

Primary practice address
2 Cambridge Rd Monsey NY 10952-1305
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT004362-1 New York

Profile Details

NPI number 1184629719
LBN Legal business name Goldberg, Joel B.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jan 28th, 2008 - about 17 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 1184629719 NPPES
New York MEDICAID 01123124

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