Most Relevant Information
Provider Data
| NPI Number: | 1003354622 |
| Provider Name: | REGINA GOLDBERG PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 004935-1 |
Most Important Dates
| Enumeration Date: | 02/02/2017 |
| Last Updated: | 02/02/2017 |
Provider Practice Location
500 SEAVIEW AVE
SUITE 240
STATEN ISLAND
NY
103053421
Practice Location Phone/Fax
| Phone: | 7186671777 |
| Fax: | 7186674380 |
Provider Mailing Location
500 SEAVIEW AVE
SUITE 240
STATEN ISLAND
NY
10305
Provider Mailing Phone/Fax
| Phone: | 7186671777 |
| Fax: | 7186674380 |