Provider Demographics
NPI:1174656946
Name:IRWIN GOLDSCHEIN DDS PC
Entity Type:Organization
Organization Name:IRWIN GOLDSCHEIN DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDSCHEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-438-3701
Mailing Address - Street 1:4901 FORT HAMILTON PARKWAY
Mailing Address - Street 2:PO BOX 190 397 1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-0397
Mailing Address - Country:US
Mailing Address - Phone:718-438-3701
Mailing Address - Fax:718-854-7108
Practice Address - Street 1:4901 FORT HAMILTON PARKWAY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-0397
Practice Address - Country:US
Practice Address - Phone:718-438-3701
Practice Address - Fax:718-854-7108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty