| Roy J. Goldberg, Md, Pc | |
|
2000 E Gun Hill Rd Bronx NY 10469-6016 | |
| (718) 405-3535 | |
| (718) 405-3501 |
| Full Name | Roy J. Goldberg, Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2000 E Gun Hill Rd, Bronx, New York |
| Authorized Official Name and Position | Roy J. Goldberg (PRESIDENT) |
| Authorized Official Contact | 9142624141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roy J. Goldberg, Md, Pc Po Box 483 Patterson NY 12563-0483 Ph: (914) 262-4141 | Roy J. Goldberg, Md, Pc 2000 E Gun Hill Rd Bronx NY 10469-6016 Ph: (718) 405-3535 |
| NPI Number | 1134239692 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 12/01/2010 |
| Medicare PECOS PAC ID | 8527963511 |
|---|---|
| Medicare Enrollment ID | O20031203000437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134239692 | NPI | - | NPPES |
| 00948169 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 156644 (New York) | Primary |
| Provider Name | Roy J Goldberg |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1962514034 PECOS PAC ID: 9436061819 Enrollment ID: I20031104000304 |
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