Goldman, Todd Russell

Goldman, Todd Russell is an sole proprietor health care provider with primary practice located at 2799 Route 112 Ste 5 , Medford NY 11763-2535. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Goldman, Todd Russell can be contacted via phone (631) 447-2299.

Contact Information

Primary practice address
2799 Route 112 Ste 5 Medford NY 11763-2535
Fax: (631) 447-2297
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 8323 New York

Profile Details

NPI number 1609942630
LBN Legal business name Goldman, Todd Russell
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Jul 8th, 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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