Provider Demographics
NPI:1487662870
Name:GOLDBERGER, ROBERT STEVEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:STEVEN
Last Name:GOLDBERGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:185 MONTAGUE STREET
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201
Mailing Address - Country:US
Mailing Address - Phone:718-638-5100
Mailing Address - Fax:718-638-5192
Practice Address - Street 1:185 MONTAGUE STREET
Practice Address - Street 2:9TH FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201
Practice Address - Country:US
Practice Address - Phone:718-638-5100
Practice Address - Fax:718-638-5192
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0367421223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics