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NPI Code Detail

MEDICARE: JULIA GOLDENBERG

MEDICARE: JULIA GOLDENBERG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant018852-1NY

General Provider Information

NPI Number : 1447626007
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA GOLDENBERG
Provider Business Mailing Address
First Line : 2883 W 12TH ST APT 13E
Second Line :
City : BROOKLYN
State : NY
Zip : 11224-3007
Country : US
Telephone Number : 646-309-1289
Fax Number :
Provider Business Practice Location Address
First Line : 150 55TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-2508
Country : US
Telephone Number : 718-630-6745
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2015
Last Update Date : 08/12/2022

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Directions to “ JULIA GOLDENBERG ” Practice Location

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