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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARK GOLDBERG, C.P.O

Active Sole Proprietor

MR. MARK GOLDBERG, C.P.O is a Physical Therapist healthcare provider located in EAST SETAUKET, New York. NPI 1114015690 is currently active in the NPPES registry. Verify at CMS.

Physical Therapist · EAST SETAUKET, NY

Registration Details

NPI Number
1114015690
Provider Type
Individual
Gender
Male
NPI Issued
Oct 10, 2006 (19.806658532189 yrs)
Last Updated
Sep 11, 2025
Sole Proprietor
Yes

Practice Information

Address
9 TECHNOLOGY DR
EAST SETAUKET, NY, 117334000
Browse NY providers · Browse ZIP 11733
Phone
6316896606
Fax
6319413525
Primary Specialty
Physical Therapist
225000000X
Additional Specialty
Physical Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.