Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1100X | Ophthalmic | 007466-1 | NY |
NPI | 1740271352 |
---|---|
Provider Name | Mr. Alexander Goldshmidt |
First Address | Brooklyn, NY 11235-4558 |
Second Address | Brooklyn, NY 11204-5613 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 08/07/2007 |