Individual
DR. SCOTT GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3304 BELL BLVD, BAYSIDE, NY 11361-1603
(718) 428-8900
(718) 428-1266
Mailing address
3304 BELL BLVD, BAYSIDE, NY 11361-1603
(718) 428-8900
(718) 428-1266
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
032711
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00464746
—
NY
Enumeration date
01/30/2007
Last updated
10/09/2015
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