Provider Demographics
NPI:1255500070
Name:STEVEN L GOLDMAN MD PC
Entity Type:Organization
Organization Name:STEVEN L GOLDMAN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:GOLDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-549-5864
Mailing Address - Street 1:7 HIGH ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-7605
Mailing Address - Country:US
Mailing Address - Phone:631-549-5864
Mailing Address - Fax:631-549-2869
Practice Address - Street 1:7 HIGH ST
Practice Address - Street 2:SUITE 305
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-7605
Practice Address - Country:US
Practice Address - Phone:631-549-5864
Practice Address - Fax:631-549-2869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty