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Individual

RICHARD H GOLDSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
630 W 168TH ST, VC 5, NEW YORK, NY 10032-3725
(212) 305-5578
Mailing address
PO BOX 51, CORNWALLVILLE, NY 12418-0051
(518) 239-4926
(518) 239-4926

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
134315
NY
207RP1001X
Pulmonary Disease Physician
G60793
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
565673
CA
Enumeration date
08/09/2006
Last updated
07/08/2007
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