1457452450 NPI number — GOLDENS BRIDGE PEDIATRICS, PC

Table of content: (NPI 1457452450)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457452450 NPI number — GOLDENS BRIDGE PEDIATRICS, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GOLDENS BRIDGE PEDIATRICS, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457452450
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
190 GOLDENS BRIDGE ROAD BOX 488
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GOLDENS BRIDGE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10526
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-232-2600
Provider Business Mailing Address Fax Number:
914-301-5232

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
190 GOLDENS BRIDGE RD
Provider Second Line Business Practice Location Address:
SUITE # 6
Provider Business Practice Location Address City Name:
KATONAH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10536-2804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-232-2600
Provider Business Practice Location Address Fax Number:
914-301-5232
Provider Enumeration Date:
09/25/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
STARK
Authorized Official First Name:
LOIS
Authorized Official Middle Name:
O.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
914-232-2600

Provider Taxonomy Codes

  • Taxonomy code: 261QM2500X , with the licence number:  099591 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)