Paul Russell Goldman in Massapequa Park - Physical Therapist
Paul Russell Goldman - NPI 1669504130
Paul Russell Goldman is a Physical Therapist in Massapequa Park, New York. Paul Russell Goldman practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Paul Russell Goldman is 1669504130. The last update date is 2007-07-09.
Paul Russell Goldman's current location address is 19 Mansfield Dr, Massapequa Park, New York. You can contact this provider via phone number 5165661398 and fax number 5167994542. The mailing address for Paul Russell Goldman is 19 Mansfield Dr, Massapequa Park, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Paul Russell Goldman |
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Address | 19 Mansfield Dr, Massapequa Park, New York |
Phone Number | 5165661398 |
Fax Number | 5167994542 |
Sole Proprietor | Y |
Credentials | P.T. |
NPI Number Detail
NPI Number | 1669504130 |
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Provider Enumeration Date | 2007-03-11 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 19 Mansfield Dr |
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City | Massapequa Park |
State | New York (NY) |
Post Code | 117624033 |
Phone Number | 5165661398 |
Fax Number | 5167994542 |
Provider's Primary Taxonomy Detail
Speciality | Physical Therapist |
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Taxonomy | 225100000X |
Licence No | 10820 |
Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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2046179 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Paul Russell Goldman by the Centers for Medicare & Medicaid Services?
The Paul Russell Goldman has been issued the NPI (National Provider Identifier) 1669504130, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Paul Russell Goldman is physically located?
The Paul Russell Goldman is physically situated at the following address: 19 Mansfield Dr, Massapequa Park, NY, 117624033.
What is Paul Russell Goldman's area of expertise and its corresponding taxonomy classification?
The Paul Russell Goldman's field of specialization is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669504130 to Paul Russell Goldman?
The Centers for Medicare & Medicaid Services originally issued the 1669504130 to Paul Russell Goldman on 2007-03-11.
As of what date were the details pertaining to Paul Russell Goldman last refreshed?
The information related to the Paul Russell Goldman, including its address, specialty, and other relevant details, was last updated on 2007-07-09.
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