Individual
GOLDA ATARA ERDFARB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
19 SKYLINE DR, HAWTHORNE, NY 10532
(914) 594-1000
Mailing address
3196 KENNEDY BLVD, UNION CITY, NJ 07087-2436
(201) 325-8444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057293
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0526037
—
NJ
Enumeration date
04/08/2013
Last updated
05/15/2019
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