Individual
SCOTT A. GORENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 MINEOLA BLVD, SUITE 360, MINEOLA, NY 11501-4064
(516) 663-8498
(516) 663-9765
Mailing address
120 MINEOLA BLVD, SUITE 360, MINEOLA, NY 11501-4064
(516) 663-8498
(516) 663-9765
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
207579-1
NY
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
207579
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02086033
—
NY
01
—
780V61
BLUECROSS BLUESHIELD
NY
Enumeration date
03/16/2006
Last updated
07/12/2012
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