| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3274617360 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194739532 PECOS PAC ID: 8224050679 Enrollment ID: I20051228000572 |
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