Individual
MARK GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
512 FASHION AVE, 1404A, NEW YORK, NY 10018-4603
(212) 768-7979
(212) 768-1223
Mailing address
316 THE PROMENADE, EDGEWATER, NJ 07020-2109
(917) 533-3197
(212) 768-1223
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X009637-1
NY
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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