MEDICARE: DR. ROBERT STEVEN GOLDEN D.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
1	111NX0800X	Orthopedic Chiropractor	4350	NY

General Provider Information

NPI Number	:	1558353672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT STEVEN GOLDEN D.C.

Provider Business Mailing Address
First Line	:	2 NORMANSKILL BLVD
Second Line	:	STE 204
City	:	DELMAR
State	:	NY
Zip	:	12054-1331
Country	:	US
Telephone Number	:	518-439-3189
Fax Number	:

Provider Business Practice Location Address
First Line	:	562 BIG WOODS RD
Second Line	:
City	:	FREEHOLD
State	:	NY
Zip	:	12431-5108
Country	:	US
Telephone Number	:	518-634-2113
Fax Number	:	518-478-9454

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

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	12/28/2016

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