AVITAL S GOLDWASSER


Address: 2619 Tilbury Ave, Pittsburgh, PA 15217-2514
Phone: 3012544912

AVITAL S GOLDWASSER (NPI# 1497281786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497281786
Entity Type Individual
Full Name AVITAL S GOLDWASSER
Other Name AVITAL S SLYPER
Credential N.P.
Practice Address 2619 Tilbury Ave
Pittsburgh
PA 15217-2514
Practice Telephone 3012544912
Mailing Telephone 3012544912
Enumeration Date 2017-05-04
Last Update Date 2017-05-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
SP017318 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2619 TILBURY AVE
City PITTSBURGH
State PA
Zip Code 15217-2514

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City PITTSBURGH
Zip Code 15217

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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