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
Fax: (888) 757-4699
Website:

Health care specialties

SpecialtyCodeLicense #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 8 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 1083604680 NPPES
Connecticut MEDICAID 1432294

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