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NPI Code Detail

MEDICARE: DR. SAMMY GOLDSTEIN DDS

MEDICARE:  DR. SAMMY  GOLDSTEIN  DDS
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
11223G0001XGeneral Practice Dentistry14852NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316002645
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMMY GOLDSTEIN DDS
Provider Business Mailing Address
First Line : 56 WOODGLEN DR
Second Line :
City : NEW CITY
State : NY
Zip : 10956-4227
Country : US
Telephone Number : 845-634-7231
Fax Number : 201-866-3448
Provider Business Practice Location Address
First Line : 707 SUMMIT AVE STE 2
Second Line :
City : UNION CITY
State : NJ
Zip : 07087-3463
Country : US
Telephone Number : 201-863-0816
Fax Number : 201-866-3448
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2006
Last Update Date : 07/09/2007

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Directions to “ DR. SAMMY GOLDSTEIN DDS” Practice Location

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