Howard S Goldberg, M.D

Individual provider Active NPI Internal Medicine Physician · Fallsburg, NY

NPI 1033106927 · NPPES record last updated Jun 20, 2018

Key facts

NPI
1033106927
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
275903 (NY)
Practice address
10 Estate Dr
Fallsburg, NY 12733
Phone
(845) 434-4748
Fax
(845) 434-4748
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
275903NYMDInternal Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 275903 NY Yes

Addresses

Primary practice location

10 Estate Dr
Fallsburg, NY 12733

Mailing address

10 Estate Dr
Fallsburg, NY 12733-5038
Phone (845) 434-4748

Other practice location 1

8631 W 3rd St
Ste# 445E
Los Angeles, CA 90048-5901
Phone (310) 659-7537

Other providers in Fallsburg, NY

All providers in Fallsburg, NY · Internal Medicine Physician in New York

Sources for this page

Verify at the official NPI Registry.