# GOLDEN OAK MEDICAL LLC

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

## Provider details

- **NPI number:** 1720543721
- **Authorized official:** KANDICE KING (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (847) 228-3303

## Contact information

- **Practice address:** 334 HILLSIDE DR S, NEW HYDE PARK, NY 11040-2720
- **Practice address phone:** (718) 598-6808
- **Practice address fax:** (770) 502-6792
- **Mailing address:** 334 HILLSIDE DR S, NEW HYDE PARK, NY 11040-2720
- **Mailing address phone:** (718) 598-6808
- **Mailing address fax:** (770) 502-6792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/04/2019
- **Last updated:** 06/26/2020