Goldman, Gregory Ira

Goldman, Gregory Ira is an sole proprietor health care provider with primary practice located at 10 Elm St , Cornwall NY 12518-1410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Goldman, Gregory Ira can be contacted via phone (845) 534-2424.

Contact Information

Primary practice address
10 Elm St Cornwall NY 12518-1410
Phone: (845) 534-2424
Fax: (845) 534-0044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 143673 New York

Profile Details

NPI number 1033141726
LBN Legal business name Goldman, Gregory Ira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033141726 NPPES
New York MEDICAID 01101940

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