Doctor Name: | DR. DONALD IRA GOLDMAN |
NPI Number: | 1114144730 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 139941 |
Business Practice Address: | 2270 Grand Ave Baldwin, NY - 115103146 |
Business Phone Number: | 5167630049 |
Business Fax Number: | 5167630057 |
Mailing Address: | 2270 Grand Avenue, BALDWIN |
State: | NY |
Postal Code: | 11510 |
Phone Number: | 5167630049 |
Fax Number: | 5167630057 |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 139941 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |