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NPI Code Detail

MEDICARE: NAN ALISON GOLDSTEIN MS

MEDICARE: NAN ALISON GOLDSTEIN MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1942608443
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAN ALISON GOLDSTEIN MS
Provider Business Mailing Address
First Line : 215 BERKELEY PLACE
Second Line :
City : BROOKLYN
State : NY
Zip : 11217
Country : US
Telephone Number : 646-221-7868
Fax Number :
Provider Business Practice Location Address
First Line : 215 BERKELEY PL
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-3801
Country : US
Telephone Number : 646-221-7868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2014
Last Update Date : 12/15/2014

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