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Organization
MARK N. GOLDSTEIN M.D., P.C.
Active
Organization
MARK N. GOLDSTEIN M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK N GOLDSTEIN M.D. (PRESIDENT)
15162221622
Entity
Organization
Contact information
Practice address
990 STEWART AVE, LL45, GARDEN CITY, NY 11530-4822
(516) 222-1622
Mailing address
990 STEWART AVE, LL45, GARDEN CITY, NY 11530-4822
(516) 222-1622
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
140561
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19A111
MEDICARE ID
NY
Enumeration date
11/07/2007
Last updated
11/07/2007
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