Goldenberg, Kelly Ann

Goldenberg, Kelly Ann is an individual health care provider with primary practice located at 59 Myrtle St Suite 100, Saratoga Springs NY 12866-1044. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Goldenberg, Kelly Ann can be contacted via phone (518) 587-2400.

Contact Information

Primary practice address
59 Myrtle St Suite 100 Saratoga Springs NY 12866-1044
Fax: (518) 581-0141
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X F000738-1 New York

Profile Details

NPI number 1275532947
LBN Legal business name Goldenberg, Kelly Ann
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Aug 4th, 2009 - about 16 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 1275532947 NPPES
New York MEDICAID 01831323

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