Goldman, Michael

Goldman, Michael is an individual health care provider with primary practice located at 6903 Fresh Pond Rd , Ridgewood NY 11385-5264. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Goldman, Michael can be contacted via phone (718) 821-0997.

Contact Information

Primary practice address
6903 Fresh Pond Rd Ridgewood NY 11385-5264
Phone: (718) 821-0997
Fax: (718) 821-6736
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 037211 New York

Profile Details

NPI number 1790771608
LBN Legal business name Goldman, Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Dec 29th, 2015 - about 9 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 1790771608 NPPES
New York MEDICAID 00868295

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