Provider Demographics
NPI:1104013325
Name:GOLDFINE, ANDREW M (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:M
Last Name:GOLDFINE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:NEUROLOGY ASSOCIATES OF STONY BROOK UFPC
Mailing Address - Street 2:SBUMC, HSC LEVEL 12, RM. 020
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8121
Mailing Address - Country:US
Mailing Address - Phone:631-444-2599
Mailing Address - Fax:844-862-7442
Practice Address - Street 1:NEUROLOGY ASSOCIATES OF STONY BROOK UFPC
Practice Address - Street 2:SBUMC, HSC LEVEL 12, RM. 020
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8121
Practice Address - Country:US
Practice Address - Phone:631-444-2599
Practice Address - Fax:844-862-7442
Is Sole Proprietor?:No
Enumeration Date:2007-10-02
Last Update Date:2018-10-18
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Provider Licenses
StateLicense IDTaxonomies
CAA994512084N0400X
NY2358872084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A994510Medicaid
CAWA99451AMedicare PIN