Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 103932 | NY |
NPI | 1235459967 |
---|---|
Provider Name | Dr. David Goldsmith |
First Address | New York, NY 10065-7408 |
Second Address | New York, NY 10065-7408 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2010 |
Last Update Date | 04/06/2010 |