Mark Goldberg in East Setauket - Orthotic Fitter
Mark Goldberg - NPI 1114015690
Mark Goldberg is a Orthotic Fitter in East Setauket, New York. Mark Goldberg practices all healthcare services and medical treatments related to Orthotic Fitter. The NPI Number for Mark Goldberg is 1114015690. The last update date is 2007-07-08.
Mark Goldberg's current location address is 9 Technology Dr, East Setauket, New York. You can contact this provider via phone number 6316896606 and fax number 6319413525. The mailing address for Mark Goldberg is 9 Technology Dr, East Setauket, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Goldberg |
|---|---|
| Address | 9 Technology Dr, East Setauket, New York |
| Phone Number | 6316896606 |
| Fax Number | 6319413525 |
| Sole Proprietor | Y |
| Credentials | C.P.O |
NPI Number Detail
| NPI Number | 1114015690 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9 Technology Dr |
|---|---|
| City | East Setauket |
| State | New York (NY) |
| Post Code | 117334000 |
| Phone Number | 6316896606 |
| Fax Number | 6319413525 |
Provider's Primary Taxonomy Detail
| Speciality | Orthotic Fitter |
|---|---|
| Taxonomy | 225000000X |
|
Definition: An individual trained in the management of fitting prefabricated orthoses. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1077018 | NY | -- |
Post Comment/ Review Below
What is the Mark Goldberg's 1114015690?
The Mark Goldberg's NPI (National Provider Identifier) Number is 1114015690. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mark Goldberg is geographically located?
The Mark Goldberg is physically situated at the following location: 9 Technology Dr, East Setauket, NY, 117334000.
What is Mark Goldberg's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark Goldberg is Orthotic Fitter, and the taxonomy code that classifies this field of practice is 225000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114015690 to Mark Goldberg?
The Centers for Medicare & Medicaid Services originally issued the 1114015690 to Mark Goldberg on 2006-10-10.
As of what date was the information regarding Mark Goldberg, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark Goldberg, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.