Individual provider · Type 1 NPI

Mark Goldberg, C.P.O

Orthotic Fitter · East Setauket, NY

NPI number 1114015690 Active

Practice location

9 Technology Dr
East Setauket, NY 11733-4000

Fax (631) 941-3525

Specialties and licenses

TaxonomyCodeLicense
Orthotist 222Z00000XNone listed
Prosthetist 224P00000XNone listed
Orthotic Fitter Primary 225000000XNone listed

Orthotic Fitter: An individual trained in the management of fitting prefabricated orthoses.

5 other providers at this address

About NPI 1114015690

Mark Goldberg, C.P.O's National Provider Identifier is 1114015690, issued on Oct 10, 2006. The primary taxonomy on file is Orthotic Fitter (225000000X), and the practice location is in East Setauket, NY. The record was last updated on Sep 11, 2025.