Provider Demographics
NPI:1790786770
Name:GOLTZMAN, CAREY S (MD)
Entity Type:Individual
Prefix:
First Name:CAREY
Middle Name:S
Last Name:GOLTZMAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:22 SAW MILL RIVER RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-1533
Mailing Address - Country:US
Mailing Address - Phone:914-493-7513
Mailing Address - Fax:914-493-1281
Practice Address - Street 1:100 WOODS RD
Practice Address - Street 2:WESTCHESTER MEDICAL CENTER
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1530
Practice Address - Country:US
Practice Address - Phone:914-493-7513
Practice Address - Fax:914-493-1281
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2013-07-23
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Provider Licenses
StateLicense IDTaxonomies
NY1960592080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT003109974Medicaid
NY01581768Medicaid
CT003109974Medicaid