William B Goldman, DDS
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Garnerville, NY
NPI 1356543151 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1356543151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 036337 (NY)
- Practice address
- 171 Ramapo Rd
Low Tor Professional Center Route 202
Garnerville, NY 10923 - Phone
- (845) 947-3666
- NPI assigned
- Jun 4, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036337 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 036337 | NY | Yes |
Addresses
Primary practice location
171 Ramapo Rd
Low Tor Professional Center Route 202
Garnerville, NY 10923
Mailing address
1046 East 23 Street
Brooklyn, NY 11210
Phone (718) 377-1944
Other providers in Garnerville, NY
- Fubrsig LLC
- Alex Gabriel
- Christopher Garcia
- Garnerville Pediatrics
- Jannelle Ginebra
- Jessica Goncalves Miceli
- Ivette Gonzalez
- Kathleen A. Gore
- Michele Lynn Gorlitsky
- Sandra Gotthardt
All providers in Garnerville, NY · Orthodontics and Dentofacial Orthopedics Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.