Individual
JONATHAN GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219
(718) 283-6151
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6151
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
294215
NY
390200000X
Student in an Organized Health Care Education/Training Program
260758
MA
390200000X
Student in an Organized Health Care Education/Training Program
294215
NY
Other
Enumeration date
06/18/2014
Last updated
04/01/2020
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