Individual
TRACI M GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 WEST 13TH STREET, NEW YORK, NY 10011
(212) 807-0019
(212) 727-2395
Mailing address
22 WEST 13TH STREET, NEW YORK, NY 10011
(212) 807-0019
(212) 727-2395
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
TUV006664-1
NY
152WV0400X
Vision Therapy Optometrist
TUV006664-1
NY
Other
Enumeration date
10/03/2006
Last updated
12/13/2007
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