Individual
HENRY R GOLDSTEIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 PIKE ST, SUITE 201, PORT JERVIS, NY 12771-1824
(845) 856-6609
(845) 856-6609
Mailing address
123 PIKE ST, SUITE 201, PORT JERVIS, NY 12771-1824
(845) 856-6609
(845) 856-6609
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
106783
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00492246
—
NY
Enumeration date
08/23/2005
Last updated
07/08/2007
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