Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 160038 | NY |
NPI | 1013079003 |
---|---|
Provider Name | Kimberlee Goldsmith |
First Address | Scarsdale, NY 10583-5063 |
Second Address | Scarsdale, NY 10583-5063 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D87342 | (02) | NY |