Individual provider · Type 1 NPI

Chase Goldberg

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1053253229 Active

Practice location

622 W 168th St
New York, NY 10032-3720

Call (877) 426-5637 Map

Mailing address

131 Mamaroneck Ave Apt 933
White Plains, NY 10601-4260

Other practice locations

  • 40 Sunshine Cottage Rd, Valhalla, NY 10595-1524 · (914) 594-4000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053253229

Chase Goldberg's National Provider Identifier is 1053253229, issued on Apr 7, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Apr 7, 2026.