Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 142134 | NY |
NPI | 1093871733 |
---|---|
Provider Name | Dr. Judith Ann Goldstein |
First Address | New York, NY 10010-3044 |
Second Address | Rockville Centre, NY 11570-2341 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 11/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01043576 | (05) | NY |
B79482 | (02) |