Goldstein, Henry R

Goldstein, Henry R is an individual health care provider with primary practice located at 123 Pike St Suite 201, Port Jervis NY 12771-1824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Goldstein, Henry R can be contacted via phone (845) 856-6609.

Contact Information

Primary practice address
123 Pike St Suite 201 Port Jervis NY 12771-1824
Phone: (845) 856-6609
Fax: (845) 856-6609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 106783 New York

Profile Details

NPI number 1871586099
LBN Legal business name Goldstein, Henry R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871586099 NPPES
New York MEDICAID 00492246

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