DR. ALICIA VIVIAN GOLDENBERG (NPI# 1740677855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740677855 |
| Entity Type | Individual |
| Full Name | DR. ALICIA VIVIAN GOLDENBERG |
| Credential | M.D |
| Practice Address |
Elm and Carlton Streets Buffalo NY 14263 |
| Mailing Address |
37 Cliffside Dr. Toronto ONTARIO M1N 1K9 CA |
| Practice Telephone | 7168452300 |
| Mailing Telephone | 6478323202 |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2020-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
304150 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | NJ | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 94 Old Short Hills Rd, Livingston, NJ 070395672 | 9733225777 | |
| Elm and Carlton Streets, Buffalo, NY 14263 | 7168452300 |
| Street Address |
ELM AND CARLTON STREETS |
| City | BUFFALO |
| State | NY |
| Zip Code | 14263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667083 | Ahmed Nabil Belal | Radiology | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2005-05-27 |
| 1215537204 | Carolyn Robinson | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2020-10-28 |
| 1578186862 | Alexandra Dione Huffman | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2020-05-21 |
| 1013538461 | Gordon Bolles | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2020-04-27 |
| 1396371746 | Tiffany Marie Meyers | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2020-03-18 |
| 1275172934 | Chereve Ferry | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2019-12-30 |
| 1255972386 | Rosh-neke Dezarae Thomas | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2019-09-30 |
| 1205486271 | Kimberly Lynn Murray | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14267-0002 | 2019-09-12 |
| 1629626098 | Danielle Wegrzyn | Physician Assistant | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2019-08-29 |
| 1588210827 | Katherine Mahar | Physician Assistant | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2019-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321168 | Fernando Andres Angarita Celis | Surgery | Rosuell Park Comprehensive Cancer Center / Elm & Carlto, Streets / Scott Bieler Clinical Services Center 6th Fl, Buffalo, NY 14263 | 2020-09-23 |
| 1972074797 | Roswell Park Pharmacy Corporation | Pharmacy | Elm & Carlton Sts., Buffalo, NY 14263 | 2018-12-06 |
| 1235617861 | Heather Marie Poushay | Student in an Organized Health Care Education/Training Program | 665 Elm Street Roswell Park Comprehensive Cancer Canter, Attn Michelle Rotella, Buffalo, NY 14263 | 2018-08-06 |
| 1205212594 | Neelam Sandhu | Student in an Organized Health Care Education/Training Program | Elm & Carlton Streets Oncological Surgical Pathology, Roswell Park Cancer Institute, Buffalo, NY 14263 | 2015-08-10 |
| 1629413265 | Ivan Walter Cohen | Anesthesiology | Roswell Park Comprehensive Cancer Center, Elm and Carlton Streets, Buffalo, NY 14263 | 2013-05-09 |
| 1811243041 | Priyanka Maridhi Nanjireddy | Pediatrics | Roswell Park/oishei Children's Cancer and Blood Disorde, 685 Elm Street, Buffalo, NY 14263 | 2012-07-25 |
| 1760552699 | Mohamed Mokhtar El Sayed Desouki | Pathology | Elm & Carlton Streets, Buffalo, NY 14263 | 2006-11-08 |
| 1851948194 | Jamie Kerner | Nurse Practitioner | Elm & Carlton Streets, Buffalo, NY 14263 | 2019-08-21 |
| 1851856967 | Emily Taylor Haas | Nurse Practitioner | Elm & Carlton Streets, Buffalo, NY 14263 | 2019-02-02 |
| 1083134928 | Megan Elizabeth Schaefer | Physician Assistant | Elm and Carlton St, Buffalo, NY 14263 | 2017-06-21 |
| Find all providers in zip 14263 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437130960 | Shaozeng Zhang | Pathology | Elm and Carlton St, Buffalo, NY 14263-0001 | 2005-11-10 |
| 1609871284 | Paul Bogner | Pathology | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134655954 | Eduardo Zappi | Pathology | 63-11 Queens Boulevard, Ste A6 / 7, Woodside, NY 11377 | 2017-05-11 |
| 1407100050 | Marcelo Ernesto Zappi | Pathology | 63-11 Queens Boulevard Apt A4, C/o Eduardo Zappi Dermatopathology, Woodside, NY 11377 | 2012-11-05 |
| 1578706032 | Xuan Wang | Pathology | 80 Crossways Park Dr Ste 100, Woodbury, NY 11797-2047 | 2009-04-14 |
| 1467602581 | Melissa Gill | Pathology | 64 Southlawn Ave, Dobbs Ferry, NY 10522-3520 | 2008-09-25 |
| 1659532224 | Garrett Thomas Desman | Pathology | 1233 York Ave Apt 16o, New York, NY 10065-6306 | 2008-06-17 |
| 1073797353 | Ron Yaar | Pathology | 61 Monroe Ave Ste B, Pittsford, NY 14534-1311 | 2007-12-22 |
| 1780787770 | Meenakshi Singh | Pathology | Sbumc Dept of Pathology, Stony Brook, NY 11794-0001 | 2006-09-06 |
| 1487663860 | Laboratory of Dermatopathology Adx, LLC | Pathology | 80 Crossways Park Drive, Suite 100, Woodbury, NY 11797-2047 | 2006-08-05 |
| 1316986359 | Mount Sinai School of Medicine | Pathology | 1428 Madison Ave, Atran 610, New York, NY 10029-6508 | 2006-06-05 |
| 1144283912 | Mcclain Laboratories LLC | Pathology | 45 Manor Rd, Smithtown, NY 11787-2735 | 2006-04-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ALICIA VIVIAN GOLDENBERG.
| 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.