NPI 1003354622

Regina Goldberg, PA

Practitioner Physician Assistant Staten Island, NY

Practice location

Address: 500 Seaview Ave Suite 240, Staten Island, NY 10305-3421
Phone: (718) 667-1777
Fax: (718) 667-4380
Mailing address: 500 Seaview Ave Suite 240, Staten Island, NY 10305

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 004935-1 (NY)

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Registry record

NPI: 1003354622
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Feb 2017
Record last updated: 2 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.