| Jeffrey A & Mark Goldstein Dds Pllc | |
|
131-11 Rockaway Blvd So Ozone Park NY 11420 | |
| (718) 322-9607 | |
| (718) 322-9614 |
| Full Name | Jeffrey A & Mark Goldstein Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 131-11 Rockaway Blvd, So Ozone Park, New York |
| Authorized Official Name and Position | Mark Neil Goldstein (PARTNER) |
| Authorized Official Contact | 7183229607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey A & Mark Goldstein Dds Pllc 131-11 Rockaway Blvd So Ozone Park NY 11420 Ph: (718) 322-9607 | Jeffrey A & Mark Goldstein Dds Pllc 131-11 Rockaway Blvd So Ozone Park NY 11420 Ph: (718) 322-9607 |
| NPI Number | 1053386110 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 11/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053386110 | NPI | - | NPPES |
| 00287967 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 028052 (New York) | Primary |