Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | F360078-1 | NY |
NPI | 1043459795 |
---|---|
Provider Name | Mrs. Aimee Lynn Goldman |
First Address | Brooklyn State, NY 11232 |
Second Address | Brooklyn, NY 11232 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2009 |
Last Update Date | 19/02/2009 |