Individual
LAWRENCE WAYNE GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 S BROADWAY, 106, TARRYTOWN, NY 10591-4500
(914) 366-0633
(914) 366-0641
Mailing address
200 S BROADWAY, SUITE 106, TARRYTOWN, NY 10591-4500
(914) 366-0633
(914) 232-3366
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
188101
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01415690
—
NY
Enumeration date
11/01/2006
Last updated
11/29/2012
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