National Provider Identifier Database

PHYLLIS G SIMON GOLDMAN, MD – NPI #1245431477
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

PHYLLIS G SIMON GOLDMAN, MD
270 UNION AVE
HOLBROOK, NY11741
Phone: 631-331-6200
Fax: 631-331-6282
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for PHYLLIS G SIMON GOLDMAN

NPI Number 1245431477
Credentials MD
Entity Individual
Enumeration date 05/28/2007
Last updated 04/12/2012 - About 14 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 240746-1
  • NY Medicaid: 03080866
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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