Organization
COUGH MEDICAL CARE OF LI PC
Active
Other names
Allergy & Asthma Care of LI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY GOLDSTEIN MD (CEO)
(516) 536-7336
Entity
Organization
Contact information
Practice address
242 MERRICK RD, SUITE 401, ROCKVILLE CENTRE, NY 11570-5254
(516) 536-7336
(516) 536-7650
Mailing address
242 MERRICK RD, SUITE 401, ROCKVILLE CENTRE, NY 11570-5254
(516) 536-7336
(516) 536-7650
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
128390
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00489890
—
NY
Enumeration date
12/21/2007
Last updated
05/05/2008
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