Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 208407 | NY |
NPI | 1144238809 |
---|---|
Provider Name | Dr. Janet Goldstein |
First Address | Bethpage, NY 11714-5709 |
Second Address | Bethpage, NY 11714-5709 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 05/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02458253 | (05) | NY |
H07356 | (02) | NY |