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Individual
LESLIE S GOLDSTEIN
Active
Individual
LESLIE S GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
157862
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000405271001
BLUE SHIELD OF NENY
NY
01
—
0076113
GHI
NY
05
—
00844633
—
NY
01
—
10000785
CDPHP
NY
01
—
27123
MVP
NY
01
—
51E511
EMPIRE BLUE CROSS
NY
Enumeration date
10/04/2005
Last updated
04/19/2012
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