Individual
NATHANN GOLDSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
182 KAY ST, BUFFALO, NY 14215-2328
(716) 553-4316
Mailing address
182 KAY ST, BUFFALO, NY 14215-2328
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07138989
—
NY
Enumeration date
01/30/2023
Last updated
01/30/2023
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