Provider Demographics
NPI:1871565119
Name:GOLDSZER, JAMES FRANKLIN (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:FRANKLIN
Last Name:GOLDSZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MAYFIELD STREET
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1740 EASTCHESTER ROAD
Practice Address - Street 2:CALVARY HOSPITAL
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:33027-6308
Practice Address - Country:US
Practice Address - Phone:718-518-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-02
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY178419-1207Q00000X
NY178419208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY62L56EW741Medicare PIN