Organization
PARK SOUTH PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ISRAEL GOLDMAN D.P.M. (OWNER)
(212) 679-6776
Entity
Organization
Contact information
Practice address
450 PARK AVE S, NEW YORK, NY 10016-7320
(212) 679-6776
(212) 679-6538
Mailing address
450 PARK AVE S, NEW YORK, NY 10016-7320
(212) 679-6776
(212) 679-6538
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
005362
NY
Other
Enumeration date
11/15/2011
Last updated
12/12/2011
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