Basic Information
| Provider Information | |||||||||
| NPI: | 1265465355 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GOLAMCO | ||||||||
| FirstName: | FLORENCE | ||||||||
| MiddleName: | PE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 24527 76TH AVE APT B | ||||||||
| Address2: | |||||||||
| City: | BELLEROSE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 114261801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185858004 | ||||||||
| FaxNumber: | 7185857046 | ||||||||
| Practice Location | |||||||||
| Address1: | 1288 CENTRAL AVE | ||||||||
| Address2: | |||||||||
| City: | FAR ROCKAWAY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 116913909 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189457150 | ||||||||
| FaxNumber: | 7189452596 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/09/2006 | ||||||||
| LastUpdateDate: | 03/27/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 238552 | NY | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.