Goldstein, Jeffrey Allen
Goldstein, Jeffrey Allen is an individual health care provider with primary practice located at 131-11 Rockaway Blvd , So Ozone Park NY 11420. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Goldstein, Jeffrey Allen can be contacted via phone (718) 322-9607.Contact Information
Primary practice address
131-11 Rockaway Blvd
So Ozone Park NY 11420
Phone: (718) 322-9607
Fax: (718) 322-9614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 027529 | New York |
Profile Details
| NPI number | 1851369953 |
|---|---|
| LBN Legal business name | Goldstein, Jeffrey Allen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851369953 | NPPES |
| New York | MEDICAID | 00287958 |
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