| Doctor Name: | RIVA GOLDENBERG |
| NPI Number: | 1538477831 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 258052 |
| Business Practice Address: | 221 Parkville Ave Suite 1 Brooklyn, NY - 112301373 |
| Business Phone Number: | 7182361222 |
| Business Fax Number: | 7182365829 |
| Mailing Address: | 1716 Avenue T, Apt 4g BROOKLYN |
| State: | NY |
| Postal Code: | 112293458 |
| Phone Number: | 9178165452 |
| Fax Number: | |
| NPI Enumeration Date: | 09/21/2010 |
| NPI Last Update Date: | 05/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 258052 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |