Goldenberg, Grigoriy
Goldenberg, Grigoriy is an sole proprietor health care provider with primary practice located at 2792 Ocean Ave Fl 6 , Brooklyn NY 11229-4730. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Goldenberg, Grigoriy can be contacted via phone (718) 332-5268.Contact Information
Primary practice address
2792 Ocean Ave Fl 6
Brooklyn NY 11229-4730
Phone: (718) 332-5268
Fax: (718) 975-0632
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 207101 | New York |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 207101 | New York |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 207101 | New York |
Profile Details
NPI number | 1093784837 |
---|---|
LBN Legal business name | Goldenberg, Grigoriy |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 15th, 2006 |
Last updated | Jul 15th, 2013 - about 11 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 | 1093784837 | NPPES |
New York | MEDICAID | 01862871 |
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