Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 005362 | NY |
Y | 222Z00000X | Podiatrist | 005362 | NY |
N | 213ES0131X | Foot Surgery | 005362 | NY |
NPI | 1073538443 |
---|---|
Provider Name | Dr. Thomas Israel Goldman |
First Address | New York, NY 10016-7320 |
Second Address | New York, NY 10016-7320 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 18/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04891 | MEDICARE /GHI (01) | NY |
3C3513 | HEALTHNET (01) | NY |
5624704 | AETNA ID (01) | NY |
6201507 | GHI (01) | NY |
P2176344 | OXFORD (01) | NY |
P95263 | BLUE CROSS BLUE SHIELD (01) | NY |
U67245 | (02) | NY |