Provider Demographics
NPI:1285687343
Name:GOLDSMITH, CAITLIN FISS (MD,FACOG)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:FISS
Last Name:GOLDSMITH
Suffix:
Gender:F
Credentials:MD,FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 EAST 88TH STREET
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-0724
Mailing Address - Country:US
Mailing Address - Phone:212-860-0300
Mailing Address - Fax:212-860-0314
Practice Address - Street 1:62 EAST 88TH STREET
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-0724
Practice Address - Country:US
Practice Address - Phone:212-860-0300
Practice Address - Fax:212-860-0314
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205714207V00000X, 207VG0400X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG92570Medicare UPIN