Goodstein, Mark
Goodstein, Mark is an individual health care provider with primary practice located at 101 Saint Andrews Ln , Glen Cove NY 11542-2254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Goodstein, Mark can be contacted via phone (516) 674-7591.Contact Information
Primary practice address
101 Saint Andrews Ln
Glen Cove NY 11542-2254
Phone: (516) 674-7591
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 194328 | New York |
Profile Details
| NPI number | 1083610059 |
|---|---|
| LBN Legal business name | Goodstein, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Nov 3rd, 2009 - about 15 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 | 1083610059 | NPPES |
| New York | MEDICAID | 01760356 |
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