Healthcare Provider Details

I. General information

NPI: 1790786770
Provider Name (Legal Business Name): CAREY S GOLTZMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 12/04/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WOODS RD WESTCHESTER MEDICAL CENTER
VALHALLA NY
10595-1530
US

IV. Provider business mailing address

22 SAW MILL RIVER RD 2ND FLOOR
HAWTHORNE NY
10532-1533
US

V. Phone/Fax

Practice location:
  • Phone: 914-493-7513
  • Fax: 914-493-1281
Mailing address:
  • Phone: 914-493-7513
  • Fax: 914-493-1281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number196059
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number196059
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: