Goldenberg, Gary
Goldenberg, Gary is an sole proprietor health care provider with primary practice located at 5 E 98Th St Fl 5 , New York NY 10029-6501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Goldenberg, Gary can be contacted via phone (212) 241-9065.Contact Information
Primary practice address
5 E 98Th St Fl 5
New York NY 10029-6501
Phone: (212) 241-9065
Fax: (212) 987-1197
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | D66160 | Maryland |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 250770 | New York |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | D66160 | Maryland |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 250770 | New York |
Profile Details
| NPI number | 1336295955 |
|---|---|
| LBN Legal business name | Goldenberg, Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Oct 30th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336295955 | NPPES |
| Maryland | MEDICAID | 413500800 | |
| Maryland | Other | 89673801 | |
| Maryland | Other | 0034 |
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