Goldberg, Warren

Goldberg, Warren is an sole proprietor health care provider with primary practice located at 1472 Moffitt Ave , Hewlett NY 11557-1516. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Goldberg, Warren can be contacted via phone (917) 952-0942.

Contact Information

Primary practice address
1472 Moffitt Ave Hewlett NY 11557-1516
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 010735 New York

Profile Details

NPI number 1104033554
LBN Legal business name Goldberg, Warren
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated Jul 8th, 2007 - 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 1104033554 NPPES
New York Other S1-0735-9 WCB

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