Individual provider · Type 1 NPI

Kirby Goldberg

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

NPI number 1518338607 Active

Practice location

142-02 20th Avenue, The Pederson-Krag Center
Flushing, NY 11351

Call (718) 559-0555 Map

Mailing address

3 Game Ln
East Setauket, NY 11733-3411

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X512866126 (NY)

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 1518338607

Kirby Goldberg's National Provider Identifier is 1518338607, issued on Oct 14, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Flushing, NY. The record was last updated on Oct 14, 2015.