Provider Demographics
NPI:1134312440
Name:GOLDMAN, ARIEL TENNY (MD)
Entity Type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:TENNY
Last Name:GOLDMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 5200
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-5200
Mailing Address - Country:US
Mailing Address - Phone:516-723-2663
Mailing Address - Fax:516-325-7190
Practice Address - Street 1:611 NORTHERN BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5207
Practice Address - Country:US
Practice Address - Phone:516-723-2663
Practice Address - Fax:516-325-7190
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2012-08-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY233389207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery