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General NPI Number Information
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NPI Number | 1366769283
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Entity Type | Organization
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Legal Business Name | GOLDSMITH PODIATRY, PC
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Dates
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Enumeration Date | 05/02/2010
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Last Update Date | 02/27/2012
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Provider Practice Location Address
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Address Line | 41 W 72ND ST SUITE 1AB
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City | NEW YORK
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State | NY
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Zip | 10023-3413
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Country | US
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Telephone | 917-750-6157
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Fax |
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Provider Business Mailing Address
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Address Line | 41 W 72ND ST APT 2D
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City | NEW YORK
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State | NY
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Zip | 10023-3413
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Country | US
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Telephone | 917-750-6157
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOWARD B GOLDSMITH
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Credential | D.P.M
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Telephone | 917-750-6157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number | N006061
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License Number State | NY
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