Provider Demographics
NPI:1558362210
Name:GOLDSTEIN, STEVEN R (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:R
Last Name:GOLDSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 E 34TH ST FL 5
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5064
Mailing Address - Country:US
Mailing Address - Phone:212-717-5554
Mailing Address - Fax:212-717-0106
Practice Address - Street 1:314 E 34TH ST FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5064
Practice Address - Country:US
Practice Address - Phone:212-717-5554
Practice Address - Fax:212-717-0106
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-03
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY127950207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A61798Medicare UPIN
NY28A651Medicare ID - Type Unspecified