| Barry E.goldman Md Pc | |
|
66 Forest Glen Rd New Paltz NY 12561-2611 | |
| (845) 255-5450 | |
| (845) 255-5854 |
| Full Name | Barry E.goldman Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 66 Forest Glen Rd, New Paltz, New York |
| Authorized Official Name and Position | Barry Edward Goldman (PRESIDENT) |
| Authorized Official Contact | 8452555450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barry E.goldman Md Pc 66 Forest Glen Rd New Paltz NY 12561-2611 Ph: (845) 255-5450 | Barry E.goldman Md Pc 66 Forest Glen Rd New Paltz NY 12561-2611 Ph: (845) 255-5450 |
| NPI Number | 1902076938 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 03/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902076938 | NPI | - | NPPES |
| 00929144 | Medicaid | NY | |
| A63475 | Other | NY | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 155612-1 (New York) | Primary |
| 363LF0000X | Nurse Practitioner - Family | F334111-1 (New York) | Secondary |
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