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NPI Code Detail

MEDICARE: DR. NEIL M GOLDSTEIN DDS

MEDICARE: DR. NEIL M 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 Dentistry035891NY

General Provider Information

NPI Number : 1861416026
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NEIL M GOLDSTEIN DDS
Provider Business Mailing Address
First Line : 30 OFFICE PARK WAY
Second Line : TOBEY VILLAGE OFFICE PARK
City : PITTSFORD
State : NY
Zip : 14534-1734
Country : US
Telephone Number : 585-348-9132
Fax Number :
Provider Business Practice Location Address
First Line : 30 OFFICE PARK WAY
Second Line : TOBEY VILLAGE OFFICE PARK
City : PITTSFORD
State : NY
Zip : 14534-1734
Country : US
Telephone Number : 585-348-9132
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 09/23/2015

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