Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 019191 | NY |
NPI | 1003211533 |
---|---|
Provider Name | Natalie Goldman |
First Address | Brooklyn, NY 11230-5849 |
Second Address | Brooklyn, NY 11230-5849 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2014 |
Last Update Date | 27/10/2014 |