Individual
DR. GARY SETH GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1873 WESTERN AVE, SUITE 200, ALBANY, NY 12203-5028
(518) 869-1044
(518) 869-1965
Mailing address
1873 WESTERN AVE, SUITE 200, ALBANY, NY 12203-5028
(518) 869-1044
(518) 869-1965
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
033784
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033784
NEW YORK STATE LICENSE
NY
Enumeration date
12/20/2006
Last updated
07/08/2007
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