Individual provider · Type 1 NPI

Ian Scott Goldlust, MD, PhD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1891359147 Active

Practice location

622 W 168th St
New York, NY 10032-3720

Call (212) 305-6262 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1891359147

Ian Scott Goldlust, MD, PhD's National Provider Identifier is 1891359147, issued on Apr 23, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Apr 23, 2019.