Provider Demographics
NPI:1700772449
Name:GOLDBERGER, DAVID
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:GOLDBERGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 UNION RD # 312
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-3403
Mailing Address - Country:US
Mailing Address - Phone:347-623-5232
Mailing Address - Fax:
Practice Address - Street 1:120 UNION RD # 312
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-3403
Practice Address - Country:US
Practice Address - Phone:347-623-5232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical