| Doctor Name: | ROBERT T GOLDMAN |
| NPI Number: | 1124172861 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 202109 |
| Business Practice Address: | 310 N Highland Ave Ste 4 Mount Kisco Medical Group Pc Ossining, NY - 105626301 |
| Business Phone Number: | 9144682590 |
| Business Fax Number: | 9144688591 |
| Mailing Address: | 110 S. Bedford Road, Mount Kisco Medical Group Pc MOUNT KISCO |
| State: | NY |
| Postal Code: | 10549 |
| Phone Number: | 9142411050 |
| Fax Number: | 9142421516 |
| NPI Enumeration Date: | 01/22/2007 |
| NPI Last Update Date: | 11/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | 202109 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |