Provider Demographics
NPI:1073934014
Name:GOLDSHMID, CHANA (MS ED)
Entity type:Individual
Prefix:MISS
First Name:CHANA
Middle Name:
Last Name:GOLDSHMID
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 EMPIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-5306
Mailing Address - Country:US
Mailing Address - Phone:917-853-1914
Mailing Address - Fax:
Practice Address - Street 1:721 EMPIRE BLVD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-5306
Practice Address - Country:US
Practice Address - Phone:917-853-1914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-18
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist