| Ira Goldberg, D.m.d., Pllc | |
|
1044 Northern Blvd Suite 108 Roslyn NY 11576-1514 | |
| (516) 484-1123 | |
| Not Available |
| Full Name | Ira Goldberg, D.m.d., Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1044 Northern Blvd, Roslyn, New York |
| Authorized Official Name and Position | Ira Elliot Goldberg (MEMBER) |
| Authorized Official Contact | 5164841123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ira Goldberg, D.m.d., Pllc 1044 Northern Blvd Suite 108 Roslyn NY 11576-1514 Ph: (516) 484-1123 | Ira Goldberg, D.m.d., Pllc 1044 Northern Blvd Suite 108 Roslyn NY 11576-1514 Ph: (516) 484-1123 |
| NPI Number | 1538353271 |
|---|---|
| Provider Enumeration Date | 09/05/2007 |
| Last Update Date | 09/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538353271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 051130 (New York) | Primary |
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