Goldman, Kim E
Goldman, Kim E is an sole proprietor health care provider with primary practice located at Nyu School Of Dentistry 345 East 24Th Street, New York NY 10010-4086. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Goldman, Kim E can be contacted via phone (212) 998-9660.Contact Information
Primary practice address
Nyu School Of Dentistry 345 East 24Th Street
New York NY 10010-4086
Phone: (212) 998-9660
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 06323 | Kentucky |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 42152 | California |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 6323 | Kentucky |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 056681 | New York |
Profile Details
| NPI number | 1689634404 |
|---|---|
| LBN Legal business name | Goldman, Kim E |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Nov 27th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689634404 | NPPES |
| Kentucky | MEDICAID | 64063233 | |
| Kentucky | MEDICAID | 03658220 | |
| Kentucky | MEDICAID | 200365950 |
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