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Mr. Mark Goldberg, CPO
Orthotic Fitter in East Setauket, New York
NPI 1114015690

Mark Goldberg is a Orthotic Fitter based in East Setauket, NY. Mark Goldberg practices in East Setauket, NY and has the professional credentials of CPO. The NPI Number for Mark Goldberg is 1114015690 and holds a License No. (New York).

The current practice location address for Mark Goldberg is 9 Technology Dr, East Setauket, NY and can be reached out via phone at 631-689-6606 and via fax at 631-941-3525.

Location: 9 Technology Dr, East Setauket, NY, 11733-4000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114015690
Provider Name
Mark Goldberg
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
9 Technology Dr, East Setauket, NY, 11733-4000
Phone Number
631-689-6606
Fax Number
631-941-3525
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
01077018 05 NY
institution
Provider Business Practice Location Address Details
Address
9 Technology Dr
City
East Setauket
State
New York
Zip
11733-4000
Phone Number
631-689-6606
Fax Number
631-941-3525
person
Provider Business Mailing Address Details
Address
9 Technology Dr
City
East Setauket
State
New York
Zip
11733-4000
Phone Number
631-689-6606
Fax Number
631-941-3525
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
()
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
()
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
()
Definition
An individual trained in the management of fitting prefabricated orthoses.
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