Alexander Golberg Physician, P.c. | |
2361 E 14th St Brooklyn NY 11229-4307 | |
(718) 759-0100 | |
(718) 759-0115 |
Full Name | Alexander Golberg Physician, P.c. |
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Speciality | Family Medicine |
Location | 2361 E 14th St, Brooklyn, New York |
Authorized Official Name and Position | Lilly Golberg (OFFICE MANAGER) |
Authorized Official Contact | 7187590100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alexander Golberg Physician, P.c. 2361 E 14th St Brooklyn NY 11229-4307 Ph: (718) 759-0100 | Alexander Golberg Physician, P.c. 2361 E 14th St Brooklyn NY 11229-4307 Ph: (718) 759-0100 |
NPI Number | 1053325498 |
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Provider Enumeration Date | 07/29/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 3274617360 |
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Medicare Enrollment ID | O20080228000042 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053325498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 208373 (New York) | Primary |
Provider Name | Alexander Golberg |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194739532 PECOS PAC ID: 8224050679 Enrollment ID: I20051228000572 |
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