National Provider Identifier

Alicia Vivian Goldenberg, M.D

Alicia Vivian Goldenberg, M.D is listed in the NPPES registry with a primary specialty of Dermatopathology (Pathology) Physician in Buffalo, NY and a listed phone number of (716) 845-2300.

NPI 1740677855Buffalo, NYDermatopathology (Pathology) Physician

Profile Overview

NPI
1740677855
Provider Type
Individual
Primary Specialty
Dermatopathology (Pathology) Physician
Enumeration Date
April 16, 2015
Last Updated
May 14, 2020

Practice Location

  • Elm And Carlton Streets
  • Buffalo, NY 14263

Phone: (716) 845-2300

Mailing Address

  • 37 Cliffside Dr.
  • Toronto, Ontario 119
  • CA

Specialties

  • Dermatopathology (Pathology) Physician (207ZD0900X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1740677855
Entity Type
Individual
Last Name
Goldenberg
First Name
Alicia
Middle Name
Vivian
Name Prefix
Dr.
Credential
M.D
Mailing Street Address
37 Cliffside Dr.
Mailing City
Toronto
Mailing State
Ontario
Mailing ZIP Code
119
Mailing Country
CA
Mailing Phone
(647) 832-3202
Practice Street Address
Elm And Carlton Streets
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14263
Practice Country
US
Practice Phone
(716) 845-2300
Enumeration Date
April 16, 2015
Last Updated
May 14, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
May 14, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dermatopathology (Pathology) Physician (207ZD0900X), Student in an Organized Health Care Education/Training Program (390200000X)