Individual
DR. KEITH GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
110 E 87TH ST APT 1A, NEW YORK, NY 10128-4102
(212) 369-2213
Mailing address
110 E 87TH ST APT 1A, NEW YORK, NY 10128-4102
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
058539
NY
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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