AMIRA GOLDBERG


Address: 739 Irving Ave Ste 200, Syracuse, NY 13210
Phone: 3154795070

AMIRA GOLDBERG (NPI# 1558721373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558721373
Entity Type Individual
Full Name AMIRA GOLDBERG
Other Name AMIRA KIPNIS
Credential CRNP
Practice Address 739 Irving Ave Ste 200
Syracuse
NY 13210
Mailing Address 739 Irving Ave Ste 200
Syracuse
NY 13210-1668
Practice Telephone 3154795070
Practice Fax Number 3157012525
Mailing Telephone 3154795070
Mailing Fax Number 3157012525
Enumeration Date 2016-03-07
Last Update Date 2018-09-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
341736 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 04837601 05

Office Location

Street Address 739 IRVING AVE STE 200
City SYRACUSE
State NY
Zip Code 13210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356407993 Internist Associates of Central New York PC Durable Medical Equipment & Medical Supplies 739 Irving Ave Ste 200, Syracuse, NY 13210-1668 2006-12-28
1467070490 Danielle L Ryan Nurse Practitioner 739 Irving Ave Ste 200, Syracuse, NY 13210-1668 2020-07-07
1720642184 Erika Johnson Physician Assistant 739 Irving Ave Ste 200, Syracuse, NY 13210 2019-04-30
1801382338 Emily Anne Weston Nurse Practitioner 739 Irving Ave Ste 200, Syracuse, NY 13210-1668 2018-07-09
1629526033 Dipendra P Sah Physician Assistant 739 Irving Ave Ste 200, Syracuse, NY 13210 2016-09-14
1205275732 Parifar Rostami Internal Medicine 739 Irving Ave Ste 200, Syracuse, NY 13210-1668 2013-06-18
1801149737 Brittney Beverly Pfohl Nurse Practitioner 739 Irving Ave Ste 200, Syracuse, NY 13210-1668 2012-10-16
1164784542 Stephen Senenko Dietitian, Registered 739 Irving Ave Ste 200, Syracuse, NY 13210 2012-06-12
1952629487 Michele Alphonse Internal Medicine 739 Irving Ave Ste 200, Syracuse, NY 13210-1668 2010-05-07
1689837734 David Jonathan Di Cesar Internal Medicine 739 Irving Ave Ste 200, Syracuse, NY 13210-1668 2008-07-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558973586 Maizie Marie Shaw Social Worker 660 Madison Street, Syracuse, NY 13210 2020-08-20
1427666916 Christine Marie Welker Registered Nurse 735 Irving Avenue, Syracuse, NY 13210 2020-07-21
1386263994 Ashwini Krishna Ashwath Student in an Organized Health Care Education/Training Program 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 2020-04-14
1073142329 Kamala Ojha Student in an Organized Health Care Education/Training Program 750-east Adam's Street, Syracuse, NY 13210 2020-04-07
1003442369 Brittany Nicole Lippert Counselor 615 Madison St, Syracuse, NY 13210 2020-03-19
1902430499 Dkt Physician Pllc Internal Medicine 475 Irving Ave, Suite 410, Syracuse, NY 13210 2020-02-24
1376194720 Sarah Van Eenenaam Physician Assistant Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 2019-09-26
1265099022 Michelle Gallagher Psychologist Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 2019-05-28
1639659428 Francesca Wanda Cotrupe Physical Medicine & Rehabilitation Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 2018-08-21
1700370327 Dallin Lindahl Physical Medicine & Rehabilitation 750 E Adams St # Jh308, Syracuse, NY 13210 2018-06-18
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437750171 Dana Alberico Lonis Nurse Practitioner 246 Waldorf Pkwy, Syracuse, NY 13224-2118 2020-11-07
1679191019 Katherine Rose Halleck Nurse Practitioner 141 Atkinson Ave, Syracuse, NY 13207-1125 2020-07-13
1649817693 Ladislava Kulikova Nurse Practitioner 55 Westbrook Hills Dr, Syracuse, NY 13215-1809 2019-12-09
1841845799 Robin M Stark Nurse Practitioner 1000 E Genesee St Ste 402, Syracuse, NY 13210-1853 2019-08-07
1699335729 Kathleen M Tindall Nurse Practitioner 739 Irving Ave Ste 450, Syracuse, NY 13210-1663 2019-06-20
1760964142 Stacey Margaret Schneble Nurse Practitioner 114 Skyview Ter, Syracuse, NY 13219-2850 2018-09-03
1447753355 Lilia P Buchmuller Nurse Practitioner 1361 S 2675 W, Syracuse, UT 84075-8306 2018-03-16
1366967366 Zakiya Folami Moss Nurse Practitioner 321 Gifford Street, Syracuse, NY 13204 2017-08-10
1811410236 Lindsey Deborah Sanborn Nurse Practitioner 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 2017-07-18
1225550783 Kerry Laine Goessling Nurse Practitioner 6712 Brooklawn Pkwy Ste 204, Syracuse, NY 13211-2158 2017-07-16
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Competitor

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City SYRACUSE
Zip Code 13210

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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