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NPI Code Detail

MEDICARE: MR. PIOTR GOLDA

MEDICARE: MR. PIOTR GOLDA
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
1390200000XStudent in an Organized Health Care Education/Training ProgramNY

General Provider Information

NPI Number : 1689525586
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PIOTR GOLDA
Provider Business Mailing Address
First Line : 310 SAINT NICHOLAS AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11237-6566
Country : US
Telephone Number : 929-296-6790
Fax Number : 929-296-6790
Provider Business Practice Location Address
First Line : 310 SAINT NICHOLAS AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11237-6566
Country : US
Telephone Number : 929-296-6790
Fax Number : 929-296-6790
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/07/2026

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