Provider Demographics
NPI:1184995276
Name:GOLDIN, EDWARD BENJAMIN (DDS)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:BENJAMIN
Last Name:GOLDIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 LEXINGTON AVE FL 26
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6573
Mailing Address - Country:US
Mailing Address - Phone:212-986-4830
Mailing Address - Fax:
Practice Address - Street 1:370 LEXINGTON AVE FL 26
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6573
Practice Address - Country:US
Practice Address - Phone:212-986-4830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-20
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0494371223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics