Goldberg, Allan Seth

Goldberg, Allan Seth is an individual health care provider with primary practice located at 327 Beach 19 Street , Far Rockaway NY 11691. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Goldberg, Allan Seth can be contacted via phone (718) 869-7168.

Contact Information

Primary practice address
327 Beach 19 Street Far Rockaway NY 11691
Phone: (718) 869-7168
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N003242 New York

Profile Details

NPI number 1073505210
LBN Legal business name Goldberg, Allan Seth
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Mar 21st, 2008 - about 18 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 1073505210 NPPES
New York MEDICAID 00764296

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