Todd Russell Goldman in Medford - Chiropractor
Todd Russell Goldman - NPI 1609942630
Todd Russell Goldman is a Chiropractor in Medford, New York. Todd Russell Goldman practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Todd Russell Goldman is 1609942630. The last update date is 2007-07-08.
Todd Russell Goldman's current location address is 2799 Route 112 Ste 5, Medford, New York. You can contact this provider via phone number 6314472299 and fax number 6314472297. The mailing address for Todd Russell Goldman is 2799 Route 112 Ste 5, Medford, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Todd Russell Goldman |
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Address | 2799 Route 112 Ste 5, Medford, New York |
Phone Number | 6314472299 |
Fax Number | 6314472297 |
Sole Proprietor | Y |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1609942630 |
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Provider Enumeration Date | 2006-11-28 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2799 Route 112 Ste 5 |
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City | Medford |
State | New York (NY) |
Post Code | 117632535 |
Phone Number | 6314472299 |
Fax Number | 6314472297 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 8323 |
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique identification code assigned to Todd Russell Goldman by the Centers for Medicare & Medicaid Services?
The Todd Russell Goldman has been issued the NPI (National Provider Identifier) 1609942630. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Todd Russell Goldman located?
The Todd Russell Goldman is located at 2799 Route 112 Ste 5, Medford, NY 117632535.
What is Todd Russell Goldman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Todd Russell Goldman is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609942630 to Todd Russell Goldman?
The Centers for Medicare & Medicaid Services originally issued the 1609942630 to Todd Russell Goldman on 2006-11-28.
As of what date were the details related to Todd Russell Goldman most recently updated or revised?
The information pertaining to Todd Russell Goldman, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.