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MR. MITCHELL IRA GOLDSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
70 E 161ST ST, BRONX, NY 10451-2207
(718) 665-1163
Mailing address
70 E 161ST ST, BRONX, NY 10451-2207
(718) 665-1163

Taxonomy

Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
30484
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30481
NYS PHARMACIST LICENSE NUMBER
NY
Enumeration date
08/22/2008
Last updated
08/22/2008
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