Goldberg, Myron D

Goldberg, Myron D is an individual health care provider with primary practice located at 5001 Goodridge Ave , Bronx NY 10471-2912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Goldberg, Myron D can be contacted via phone (917) 453-1583.

Contact Information

Primary practice address
5001 Goodridge Ave Bronx NY 10471-2912
Phone: (917) 453-1583
Fax: (718) 549-1089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 112414 New York

Profile Details

NPI number 1205811460
LBN Legal business name Goldberg, Myron D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jul 13th, 2026 - about 3 months 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 1205811460 NPPES
New York MEDICAID 00203503

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