Goldberg, Pablo
Goldberg, Pablo is an individual health care provider with primary practice located at 1051 Riverside Drive Unit 74 2Nd Floor, New York NY 10032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Goldberg, Pablo can be contacted via phone (646) 774-6318.Contact Information
Primary practice address
1051 Riverside Drive Unit 74 2Nd Floor
New York NY 10032
Phone: (646) 774-6318
Fax: (888) 757-4699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 043229 | Connecticut |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 253209 | New York |
Profile Details
| NPI number | 1083604680 |
|---|---|
| LBN Legal business name | Goldberg, Pablo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Jan 30th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083604680 | NPPES |
| Connecticut | MEDICAID | 1432294 |
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