Provider Demographics
NPI:1437307808
Name:GOLDSTEIN, ROBERT CLARENCE (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:CLARENCE
Last Name:GOLDSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 GUION PL
Mailing Address - Street 2:SOUND SHORE MEDICAL CENTER - INFECTIOUS DISEASES
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5502
Mailing Address - Country:US
Mailing Address - Phone:914-365-4657
Mailing Address - Fax:914-637-1696
Practice Address - Street 1:16 GUION PL
Practice Address - Street 2:SOUND SHORE MEDICAL CENTER - INFECTIOUS DISEASES
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5502
Practice Address - Country:US
Practice Address - Phone:914-365-4657
Practice Address - Fax:914-637-1696
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY249799207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine