Provider Demographics
NPI:1710157862
Name:JAMES F. GOLDSZER, M.D.,PC
Entity Type:Organization
Organization Name:JAMES F. GOLDSZER, M.D.,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:GOLDSZER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-576-2563
Mailing Address - Street 1:PO BOX 464
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-0464
Mailing Address - Country:US
Mailing Address - Phone:914-576-2563
Mailing Address - Fax:914-381-7346
Practice Address - Street 1:444 E BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-3708
Practice Address - Country:US
Practice Address - Phone:914-576-2563
Practice Address - Fax:914-381-7346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1784192086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWEW741Medicare PIN