Individual
DAVIDA GOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-5000
Mailing address
28 GLENWOOD RD, PLAINVIEW, NY 11803-1125
(201) 527-0885
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
27706
MS
2084N0400X
Neurology Physician
Primary
61819
TN
2084N0400X
Neurology Physician
E-13234
AR
Other
Enumeration date
06/17/2014
Last updated
08/11/2020
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