| Doctor Name: | MR. SIDNEY L GOLDFISCHER |
| NPI Number: | 1700279403 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 089512 |
| Business Practice Address: | 161 West 61 Street #26c New York City, NY - 100237461 |
| Business Phone Number: | 2122620619 |
| Business Fax Number: | |
| Mailing Address: | 161 West 61 Street, #26c NEW YORK CITY |
| State: | NY |
| Postal Code: | 100237461 |
| Phone Number: | 2122620619 |
| Fax Number: | |
| NPI Enumeration Date: | 03/05/2015 |
| NPI Last Update Date: | 03/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 089512 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |