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General NPI Number Information
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NPI Number | 1144705237
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Entity Type | Organization
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Legal Business Name | GOLDBERG PARTNERS INC
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Dates
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Enumeration Date | 09/25/2018
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 9108 LIBERTY AVE
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City | OZONE PARK
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State | NY
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Zip | 11417-1524
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Country | US
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Telephone | 718-374-3260
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Fax |
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Provider Business Mailing Address
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Address Line | 9108 LIBERTY AVE
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City | OZONE PARK
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State | NY
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Zip | 11417-1524
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Country | US
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Telephone | 718-374-3260
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. ABU YOUSEF MAMUN
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Credential |
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Telephone | 718-779-1222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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