Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 100242 | NY |
NPI | 1164526463 |
---|---|
Provider Name | Martin S Goldstein |
First Address | New York, NY 10028 |
Second Address | New York, NY 10028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2006 |
Last Update Date | 07/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
583571 | (02) | NY |
B78194 | (02) |