Individual
DR. MICHELLE GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2211 MERRICK RD, MERRICK, NY 11566-4752
(516) 365-5439
(516) 442-1019
Mailing address
2211 MERRICK RD, MERRICK, NY 11566-4752
(516) 365-5439
(516) 442-1019
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
057339
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/07/2014
Last updated
07/17/2015
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