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NPI Code Detail

MEDICARE: DR. BRADLEY GOLDSMITH M.D.

MEDICARE:  DR. BRADLEY  GOLDSMITH  M.D.
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
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician195830NY

General Provider Information

NPI Number : 1851513840
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRADLEY GOLDSMITH M.D.
Provider Business Mailing Address
First Line : 722 CALDWELL AVENUE
Second Line :
City : NORTH WOODMERE
State : NY
Zip : 11581
Country : US
Telephone Number : 516-295-3030
Fax Number : 516-295-3046
Provider Business Practice Location Address
First Line : 722 CALDWELL AVENUE
Second Line :
City : NORTH WOODMERE
State : NY
Zip : 11581
Country : US
Telephone Number : 516-295-3030
Fax Number : 516-295-3046
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 07/08/2007

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Directions to “ DR. BRADLEY GOLDSMITH M.D.” Practice Location

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