Individual
ROBERT T GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 N HIGHLAND AVE STE 4, MOUNT KISCO MEDICAL GROUP PC, OSSINING, NY 10562-6301
(914) 468-2590
(914) 468-8591
Mailing address
110 S. BEDFORD ROAD, MOUNT KISCO MEDICAL GROUP PC, MOUNT KISCO, NY 10549
(914) 241-1050
(914) 242-1516
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
202109
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02252037
—
NY
01
—
P01212360
RAILROAD MEDICARE
NY
Enumeration date
01/22/2007
Last updated
11/14/2013
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