Individual
MARK GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1478 VICTORY BLVD, STATEN ISLAND, NY 10301-3915
(718) 447-0055
Mailing address
1478 VICTORY BLVD, STATEN ISLAND, NY 10301-3915
(718) 447-0055
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
143699
NY
Other
Enumeration date
09/14/2005
Last updated
02/28/2012
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