MARK GOLDBERG

EAST SETAUKET, NY
NPI1114015690
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy222Z00000X Orthotist
Additional Taxonomies224P00000X Prosthetist
225000000X Orthotic Fitter
Enumeration Date2006-10-10
Last Update Date2007-07-08
Business Address
MR. MARK GOLDBERG C.P.O
9 TECHNOLOGY DR
EAST SETAUKET, NY 11733-4000
Phone number: 631-689-6606
Mailing Address
MR. MARK GOLDBERG C.P.O
9 TECHNOLOGY DR
EAST SETAUKET, NY 11733-4000
Phone number: 631-689-6606
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