Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PAUL RUSSELL GOLDMAN, P.T.
Active Sole ProprietorPhysical Therapy Assistant · MASSAPEQUA PARK, NY
Registration Details
- NPI Number
- 1669504130
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 11, 2007 (19.143960798898 yrs)
- Last Updated
- Jul 9, 2007
- License
-
010820 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19 MANSFIELD DRMASSAPEQUA PARK, NY, 117624033Browse NY providers · Browse ZIP 11762
- Phone
- 5165661398
- Fax
- 5167994542
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MASSAPEQUA PARK, NY
| Name | Credential | NPI |
|---|---|---|
| MS. KATRINA ANN PANASUK | M.P.T. | 1417902347 |
| MS. JILL SUSAN COSTA | P.T. | 1922045467 |
| MR. JOSEPH PAUL DABOVICH II | P.T. | 1033209358 |
| MRS. DONNA MARIE KOWALCZYK-FALCONE | PT | 1023262821 |
| MARIA VECCIA | P.T. | 1861722829 |
| KAREN L RUSSO | M.A.P.T. | 1023320348 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.