Individual provider · Type 1 NPI
Gregory Goldvug
Medical Physician Assistant · Richmond Hill, NY
NPI number
1306533062
Active
Practice location
8900 Van Wyck Expy
Richmond Hill, NY 11418-2832
Mailing address
154 Prospect St
Greenwich, CT 06830-3224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 030003 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1306533062
Gregory Goldvug's National Provider Identifier is 1306533062, issued on Apr 21, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Richmond Hill, NY. The record was last updated on Aug 28, 2025.