Individual
CARLY NICOLE GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
530 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-3166
Mailing address
23 FAIRVIEW RD, MARLBORO, NJ 07746-1369
(732) 757-8890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
09/16/2022
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