Individual
DR. MERVYN LEON GOLDSTEIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
53 WINDING RIDGE RD, WHITE PLAINS, NY 10603-2853
(914) 948-0373
(914) 948-0374
Mailing address
53 WINDING RIDGE RD, WHITE PLAINS, NY 10603-2853
(914) 948-0373
(914) 948-0374
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
086816
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00135433
—
NY
Enumeration date
06/17/2005
Last updated
07/09/2007
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