# HENRY R GOLDSTEIN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033416110
- **Authorized official:** DR. HENRY RICHARD GOLDSTEIN M.D, (PRESIDENT)
- **Authorized official phone:** (845) 856-6609

## Contact information

- **Practice address:** 123 PIKE ST, PORT JERVIS, NY 12771-1824
- **Practice address phone:** (845) 856-6609
- **Mailing address:** 123 PIKE STREET, PORT JERVIS, NY 12771-1824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/25/2011
- **Last updated:** 05/05/2011