Provider Demographics
NPI:1699943084
Name:GOLDSMITH, HOWARD JEFFREY (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:JEFFREY
Last Name:GOLDSMITH
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5423 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-2605
Mailing Address - Country:US
Mailing Address - Phone:718-439-4879
Mailing Address - Fax:718-492-2824
Practice Address - Street 1:5423 2ND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-2605
Practice Address - Country:US
Practice Address - Phone:718-439-4879
Practice Address - Fax:718-492-2824
Is Sole Proprietor?:No
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY29862183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist