Individual ProviderJulia GoldenbergPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address150 55th St, Brooklyn, NY 11220-2508(718) 630-6745(646) 309-1289PECOS EnrollmentBased on the most recent information from CMS, provider Julia Goldenberg is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1447626007Provider TypeIndividualFull NameGoldenberg, JuliaGenderFemaleSole ProprietorYesEnumeration Date8/18/2015Last Updated8/12/2022Contact InformationPractice LocationPractice Address150 55th St, Brooklyn, NY 11220-2508Phone(718) 630-6745FaxUnlisted FaxMailing LocationMailing Address2883 W 12th St Apt 13e, Brooklyn, NY 11224-3007Phone(646) 309-1289FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense018852-1New York