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Contact Information

PHYLLIS G SIMON GOLDMAN, MD
270 UNION AVE
HOLBROOK, NY11741
 Phone: 631-331-6200
 Fax: 631-331-6282
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PHYLLIS G SIMON GOLDMAN · (Female)

NPI Number 1245431477
Status Active
Credentials MD
Entity Individual
Enumeration date 05/28/2007
Last updated 04/12/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 240746-1
  • NY Medicaid 03080866
Hospital affiliation(s) Not Available
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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