Healthcare Provider Details

I. General information

NPI: 1649385717
Provider Name (Legal Business Name): CONTRISTANO & GOLDBERG P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2462 FLATBUSH AVE SUITE #2
BROOKLYN NY
11234-5000
US

IV. Provider business mailing address

2462 FLATBUSH AVE SUITE #2
BROOKLYN NY
11234-5000
US

V. Phone/Fax

Practice location:
  • Phone: 718-252-4414
  • Fax: 718-377-1850
Mailing address:
  • Phone: 718-252-4414
  • Fax: 718-377-1850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number099572
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number099572
License Number StateNY

VIII. Authorized Official

Name: DR. SALVATORE CONTRISTANO
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: M.D.
Phone: 718-252-4414