Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 234233 | NY |
NPI | 1023273190 |
---|---|
Provider Name | David Alan Goldstein |
First Address | Massapequa, NY 11758 |
Second Address | Massapequa, NY 11758 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2008 |
Last Update Date | 26/08/2013 |