Individual
LANA GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
215 5TH AVENUE, BROOKLYN, NY 11215
(718) 789-2400
(718) 789-2393
Mailing address
215 5TH AVENUE, BROOKLYN, NY 11215
(718) 789-2400
(718) 789-2393
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
045774
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01558745
—
NY
Enumeration date
09/20/2006
Last updated
07/08/2007
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