Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 170696 | NY |
NPI | 1558385096 |
---|---|
Provider Name | Jonathan Golden |
First Address | Manhasset, NY 11030-3815 |
Second Address | New Hyde Park, NY 11040-1433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 21/05/2021 |