Leonard S. Goldstein Odpc | |
5910 Junction Blvd, Elmhurst, NY 11373-5156 | |
(718) 271-6883 | |
(718) 699-5905 |
Full Name | Leonard S. Goldstein Odpc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 5910 Junction Blvd, Elmhurst, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376875807 | NPI | - | NPPES |
00684735 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV003454 (New York) | Primary |
Provider Name | Leonard Sheldon Goldstein |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1508846965 PECOS PAC ID: 3779605696 Enrollment ID: I20101209000445 |
Mailing Address | Practice Location Address |
---|---|
Leonard S. Goldstein Odpc 5910 Junction Blvd, Elmhurst, NY 11373-5156 Ph: (718) 271-6883 | Leonard S. Goldstein Odpc 5910 Junction Blvd, Elmhurst, NY 11373-5156 Ph: (718) 271-6883 |
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