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Individual

STAN GOLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3111 NEW HYDE PARK RD, NEW HYDE PARK, NY 11042-1209
(516) 394-9600
(516) 869-3015
Mailing address
1 HOLLOW LN STE 206, LAKE SUCCESS, NY 11042-1215
(516) 931-0041

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
226111
NY
2085R0001X
Radiation Oncology Physician
25MA07817100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02580647
NY
Enumeration date
11/07/2005
Last updated
10/27/2023
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