Provider Demographics
NPI:1427382902
Name:GOLDFINE, MATTHEW (PHD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:
Last Name:GOLDFINE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 KNICKERBOCKER RD
Mailing Address - Street 2:SUITE #3200
Mailing Address - City:CRESSKILL
Mailing Address - State:NJ
Mailing Address - Zip Code:07626-1350
Mailing Address - Country:US
Mailing Address - Phone:201-503-5590
Mailing Address - Fax:
Practice Address - Street 1:300 KNICKERBOCKER RD
Practice Address - Street 2:SUITE #3200
Practice Address - City:CRESSKILL
Practice Address - State:NJ
Practice Address - Zip Code:07626-1350
Practice Address - Country:US
Practice Address - Phone:201-503-5590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018802103TC0700X
NJ35SI00494800103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical