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1700977253
JODY FERN GOLDBERG
JAMAICA, NY
NPI
1700977253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: NY 161405)
Enumeration Date
2006-09-28
Last Update Date
2015-05-18
Business Address
Mr. JODY FERN GOLDBERG MD
9037 PARSONS BLVD
JAMAICA, NY 11432-6032
Phone number: 718-334-6400
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Mailing Address
Mr. JODY FERN GOLDBERG MD
7901 BROADWAY MANAGED CARE, D1-01
ELMHURST, NY 11373-1329
Phone number: 718-334-1921
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