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Individual

DR. EVAN BRAD GOLDSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
44E 12TH ST MD1, NEW YORK, NY 10003-4667
(212) 206-1501
Mailing address
44E 12TH ST MD1, NEW YORK, NY 10003-4667
(212) 206-1501

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
247258
NY

Other

Enumeration date
12/24/2007
Last updated
12/23/2015
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