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General NPI Number Information
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NPI Number | 1225079734
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Entity Type | Organization
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Legal Business Name | NEAL D. GOLDBERG, MD PC
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 03/27/2014
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Provider Practice Location Address
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Address Line | 495 CENTRAL PARK AVE SUITE 305 B
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City | SCARSDALE
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State | NY
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Zip | 10583-1068
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Country | US
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Telephone | 914-722-6980
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Fax | 914-470-5056
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Provider Business Mailing Address
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Address Line | 495 CENTRAL PARK AVE SUITE 305 B
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City | SCARSDALE
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State | NY
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Zip | 10583-1068
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Country | US
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Telephone | 914-722-6980
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Fax | 914-470-5056
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Authorized Official
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Title or Position | OWNER
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Name | DR. NEAL D. GOLDBERG
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Credential | MD
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Telephone | 914-722-6980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 224305
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License Number State | NY
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