Individual
DR. COREY L GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
14 MAPLE ST, SUITE 105, PORT WASHINGTON, NY 11050-2946
(516) 767-9344
(516) 767-3906
Mailing address
14 MAPLE ST., SUITE 105, PORT WASHINGTON, NY 11050
(516) 767-9344
(516) 767-3906
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
041652
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01385437
—
NY
Enumeration date
01/31/2007
Last updated
07/08/2007
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