Most Relevant Information
Provider Data
| NPI Number: | 1003215385 |
| Provider Name: | MICHAEL R GOLDBERG PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 020798-1 |
Most Important Dates
| Enumeration Date: | 08/22/2014 |
| Last Updated: | 02/27/2019 |
Provider Practice Location
243 NASSAU BLVD
GARDEN CITY
NY
115305532
Practice Location Phone/Fax
| Phone: | 3476945655 |
| Fax: |
Provider Mailing Location
243 NASSAU BLVD
GARDEN CITY
NY
115305532
Provider Mailing Phone/Fax
| Phone: | 3476945655 |
| Fax: |