Organization
GOSWAMI PAIN ANESTHESIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT GOSWAMI MD (OWNER)
(800) 715-6483
Entity
Organization
Contact information
Practice address
1030 SHERIDAN AVE, BRONX, NY 10456-6100
(646) 620-6415
Mailing address
110 MORNINGSIDE DRIVE, SUITE #43, NY, NY 10027
(646) 620-6415
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
256512
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
256512
LICENSE
NY
Enumeration date
04/05/2011
Last updated
04/05/2011
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