Provider Demographics
NPI:1730380031
Name:GOLDBERG, DEBORAH BARON (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:BARON
Last Name:GOLDBERG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:29 CLAREMONT AVE
Mailing Address - Street 2:APT 3N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-6814
Mailing Address - Country:US
Mailing Address - Phone:212-562-2554
Mailing Address - Fax:212-562-3067
Practice Address - Street 1:BELLEVUE HOSPITAL CENTER DIVISION OF FORENSIC PSYCHIATR
Practice Address - Street 2:462 FIRST AVE, RM 19W15
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-562-2554
Practice Address - Fax:212-562-3067
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY220977207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine