Healthcare Provider Details

I. General information

NPI: 1316575186
Provider Name (Legal Business Name): JULIA LOUISE GOLDBERG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2020
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 UNION TPKE STE 301
NEW HYDE PARK NY
11040-1759
US

IV. Provider business mailing address

1300 UNION TPKE STE 301
NEW HYDE PARK NY
11040-1759
US

V. Phone/Fax

Practice location:
  • Phone: 516-616-1300
  • Fax: 202-877-5435
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number326488
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: