Provider Demographics
NPI:1235160607
Name:GOLDFINE, SUSAN L (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:L
Last Name:GOLDFINE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1780 BROADWAY
Mailing Address - Street 2:1100
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:212-590-2930
Mailing Address - Fax:212-590-2982
Practice Address - Street 1:1111 AMSTERDAM AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025
Practice Address - Country:US
Practice Address - Phone:212-523-4272
Practice Address - Fax:212-523-3798
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2011-11-03
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Provider Licenses
StateLicense IDTaxonomies
NY1144222085R0205X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0205XAllopathic & Osteopathic PhysiciansRadiologyRadiological Physics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00599064Medicaid
NYC08158Medicare UPIN
NY307511Medicare ID - Type Unspecified