Organization
JEFFREY A & MARK GOLDSTEIN DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK NEIL GOLDSTEIN DDS (PARTNER)
(718) 322-9607
Entity
Organization
Contact information
Practice address
131-11 ROCKAWAY BLVD, SO OZONE PARK, NY 11420
(718) 322-9607
(718) 322-9614
Mailing address
131-11 ROCKAWAY BLVD, SO OZONE PARK, NY 11420
(718) 322-9607
(718) 322-9614
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
028052
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00287967
—
NY
Enumeration date
02/22/2006
Last updated
11/05/2008
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