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Individual

MICHAEL ALLEN GOLDSMITH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1045 5TH AVE, NEW YORK, NY 10028-0138
(212) 249-9141
(212) 628-2948
Mailing address
1045 5TH AVE, NEW YORK, NY 10028-0138
(212) 249-9141
(212) 628-2948

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
114490
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00822940
NY
01
08657H
GHI MEDICARE
NY
01
08657N
GHI MEDICARE
NY
05
7891709
NJ
Enumeration date
07/20/2005
Last updated
07/08/2007
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