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NPI Code Detail

MEDICARE: MRS. NAOMI GOLDMAN MSN, FNP-C

MEDICARE: MRS. NAOMI GOLDMAN MSN, FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner26NJ01033200NJ

General Provider Information

NPI Number : 1437775103
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NAOMI GOLDMAN MSN, FNP-C
Provider Business Mailing Address
First Line : 4770 WHITE PLAINS RD
Second Line :
City : BRONX
State : NY
Zip : 10470-1136
Country : US
Telephone Number : 646-289-5357
Fax Number :
Provider Business Practice Location Address
First Line : 4770 WHITE PLAINS RD
Second Line :
City : BRONX
State : NY
Zip : 10470-1136
Country : US
Telephone Number : 646-289-5357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2020
Last Update Date : 09/06/2023

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