Organization
BARRY E.GOLDMAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY EDWARD GOLDMAN MD (PRESIDENT)
(845) 255-5450
Entity
Organization
Contact information
Practice address
66 FOREST GLEN RD, NEW PALTZ, NY 12561-2611
(845) 255-5450
(845) 255-5854
Mailing address
66 FOREST GLEN RD, NEW PALTZ, NY 12561-2611
(845) 255-5450
(845) 255-5854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
155612-1
NY
363LF0000X
Family Nurse Practitioner
F334111-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00929144
—
NY
01
—
A63475
UPIN
NY
Enumeration date
03/05/2008
Last updated
03/05/2008
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