MEDICARE: NEIL CURTIS GOLDMAN MD

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
1	207KA0200X	Allergy Physician	098907	NY

General Provider Information

NPI Number	:	1851447395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEIL CURTIS GOLDMAN MD

Provider Business Mailing Address
First Line	:	50 DAYTON LN
Second Line	:	STE 202
City	:	PEEKSKILL
State	:	NY
Zip	:	10566-2859
Country	:	US
Telephone Number	:	914-739-0087
Fax Number	:	914-737-1714

Provider Business Practice Location Address
First Line	:	35 S RIVERSIDE AVE
Second Line	:	STE 106
City	:	CROTON ON HUDSON
State	:	NY
Zip	:	10520-2653
Country	:	US
Telephone Number	:	914-271-0001
Fax Number	:	914-271-0005

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	02/12/2016

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