Individual
SHANNA GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3950 BLACKSTONE AVE APT 1E, BRONX, NY 10471-3716
(347) 449-6529
Mailing address
3950 BLACKSTONE AVE APT 1E, BRONX, NY 10471-3716
(347) 449-6529
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
030779-1
NY
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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