Goldin, Bradley Scott

Goldin, Bradley Scott is an individual health care provider with primary practice located at 1338 Broadway , Hewlett NY 11557-2113. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Goldin, Bradley Scott can be contacted via phone (516) 295-6830.

Contact Information

Primary practice address
1338 Broadway Hewlett NY 11557-2113
Fax: (516) 295-6499
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 030173 New York

Profile Details

NPI number 1245411370
LBN Legal business name Goldin, Bradley Scott
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2007
Last updated Nov 16th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245411370 NPPES
New York MEDICAID 01879529

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