Goldberg, Robert Theodore

Goldberg, Robert Theodore is an individual health care provider with primary practice located at 142-10B Roosevelt Ave , Flushing NY 11354-6046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Goldberg, Robert Theodore can be contacted via phone (718) 539-2992.

Contact Information

Primary practice address
142-10B Roosevelt Ave Flushing NY 11354-6046
Phone: (718) 539-2992
Fax: (718) 539-0284
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 080206 New York

Profile Details

NPI number 1790763399
LBN Legal business name Goldberg, Robert Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jul 8th, 2007 - about 19 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 1790763399 NPPES
New York MEDICAID 00113997

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