Provider Demographics
NPI:1245467786
Name:GOLDNER, DANA L (MD)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:L
Last Name:GOLDNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3959 BROADWAY FL 7
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-1559
Mailing Address - Country:US
Mailing Address - Phone:212-305-3000
Mailing Address - Fax:212-305-0914
Practice Address - Street 1:3959 BROADWAY FL 7
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-1559
Practice Address - Country:US
Practice Address - Phone:212-305-3000
Practice Address - Fax:212-305-4343
Is Sole Proprietor?:No
Enumeration Date:2009-06-11
Last Update Date:2018-05-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME128279208000000X
MAL-240078208000000X
NY265092208000000X, 2080T0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080T0004XAllopathic & Osteopathic PhysiciansPediatricsPediatric Transplant Hepatology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics