Individual
ARIELLA SHIRA GOLDSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
464 W BROADWAY, CEDARHURST, NY 11516-1531
(516) 569-6487
Mailing address
815 CENTRAL AVE, LAWRENCE, NY 11559-1310
(516) 666-1724
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
030598
NY
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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