Individual
DR. MICHAEL GOLDMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6903 FRESH POND RD, RIDGEWOOD, NY 11385-5264
(718) 821-0997
(718) 821-6736
Mailing address
6903 FRESH POND RD, RIDGEWOOD, NY 11385-5264
(718) 821-0997
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
037211
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00868295
—
NY
Enumeration date
09/26/2005
Last updated
12/29/2015
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