Provider Demographics
NPI:1144705237
Name:GOLDBERG PARTNERS INC
Entity type:Organization
Organization Name:GOLDBERG PARTNERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ABU
Authorized Official - Middle Name:YOUSEF
Authorized Official - Last Name:MAMUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-779-1222
Mailing Address - Street 1:7517 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-6537
Mailing Address - Country:US
Mailing Address - Phone:718-779-1222
Mailing Address - Fax:718-785-9521
Practice Address - Street 1:7517 37TH AVE
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-6537
Practice Address - Country:US
Practice Address - Phone:718-779-1222
Practice Address - Fax:718-785-9521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-25
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty