Individual
DR. THOMAS ISRAEL GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
450 PARK AVE, SUITE #2-B, NEW YORK, NY 10016-7320
(212) 679-6776
(212) 679-6538
Mailing address
450 PARK AVE, SUITE #2-B, NEW YORK, NY 10016-7320
(212) 679-6776
(212) 679-6538
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
005362
NY
213ES0131X
Foot Surgery Podiatrist
005362
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04891
MEDICARE /GHI
NY
01
—
3C3513
HEALTHNET
NY
01
—
5624704
AETNA ID
NY
01
—
6201507
GHI
NY
01
—
P2176344
OXFORD
NY
01
—
P95263
BLUE CROSS BLUE SHIELD
NY
Enumeration date
07/13/2006
Last updated
07/18/2008
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