IRA G GOLDBERG

Dr IRA G GOLDBERG is a male medical professional, specializing in Optometry. He graduated in 1991 from New England College Of Optometry.

Contact

112 FULTON AVE C
HEMPSTEAD
NY
115503752

Tel:

IRA G GOLDBERG Information

Npi 1659495737
Pac Id 3274656236
Professional Enrollment Id I20111118000110
Last Name GOLDBERG
First Name IRA
Middle Name G
Suffix
Gender M
Credential
Medical School Name NEW ENGLAND COLLEGE OF OPTOMETRY
Graduation Year 1991
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 112 FULTON AVE C
Line 2 Street Address
Marker Of Address Line 2 Suppression
City HEMPSTEAD
State NY
Zip Code 115503752
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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