Basic Information
Provider Information
NPI: 1700844255
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GOLDSCHMITT
FirstName: DAVID
MiddleName: ALAN
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
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Mailing Information
Address1: PO BOX 13700-1410
Address2: NYDH EMERGENCY SERVICES
City: PHILADELPHIA
State: PA
PostalCode: 191911410
CountryCode: US
TelephoneNumber: 8007772455
FaxNumber: 6106176280
Practice Location
Address1: 170 WILLIAM STREET
Address2: NEW YORK UNIVERSITY DOWNTOWN HOSPITAL
City: NEW YORK
State: NY
PostalCode: 10038
CountryCode: US
TelephoneNumber: 2123125068
FaxNumber: 2123125985
Other Information
ProviderEnumerationDate: 05/03/2006
LastUpdateDate: 01/02/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/02/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X168975NYY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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