Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 203722-1 | NY |
NPI | 1285650168 |
---|---|
Provider Name | Dr. Jeffrey A Goldstein |
First Address | New York, NY 10006-1901 |
Second Address | New York, NY 10006-1901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 20/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01729400 | (05) | NY |
G06923 | (02) | NY |