Individual
BRANDON GOULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSCPT
Contact information
Practice address
152 E 118TH ST, TRIUMPH PHYSICAL THERAPY, NEW YORK, NY 10035-4087
(212) 987-6500
Mailing address
152 E 118TH ST, NEW YORK, NY 10035-4087
(212) 987-6500
(212) 987-6505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
037174
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04541975
—
NY
01
—
13767497
CAQH
—
Enumeration date
06/17/2014
Last updated
05/15/2020
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