Goldman, Michael M

Goldman, Michael M is an individual health care provider with primary practice located at 12046 Queens Blvd , Kew Gardens NY 11415-1204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Goldman, Michael M can be contacted via phone (718) 793-3341.

Contact Information

Primary practice address
12046 Queens Blvd Kew Gardens NY 11415-1204
Fax: (718) 268-1666
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 260759 New York

Profile Details

NPI number 1912220666
LBN Legal business name Goldman, Michael M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2010
Last updated Apr 9th, 2024 - about 7 months 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 1912220666 NPPES
New York MEDICAID 03331142

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