Provider Demographics
NPI:1295754539
Name:GOLDSMITH, ARI JUDAH (MD)
Entity type:Individual
Prefix:DR
First Name:ARI
Middle Name:JUDAH
Last Name:GOLDSMITH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:660 WHITE PLAINS RD FL 4
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5139
Mailing Address - Country:US
Mailing Address - Phone:914-984-2546
Mailing Address - Fax:
Practice Address - Street 1:9020 5TH AVE FL 3
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5908
Practice Address - Country:US
Practice Address - Phone:718-833-0515
Practice Address - Fax:718-745-3436
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2019-04-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY189277207Y00000X, 207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF51727Medicare UPIN