Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 189277 | NY |
Y | 207YP0228X | Pediatric Otolaryngology | 189277 | NY |
NPI | 1295754539 |
---|---|
Provider Name | Dr. Ari Judah Goldsmith |
First Address | Tarrytown, NY 10591-5139 |
Second Address | Brooklyn, NY 11209-5908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 02/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F51727 | (02) | NY |