Provider Demographics
NPI:1598891061
Name:GOLDSTEIN & LEVINE PTR
Entity Type:Organization
Organization Name:GOLDSTEIN & LEVINE PTR
Other - Org Name:KEW GARDENS HILLS PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:GOLDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-268-5282
Mailing Address - Street 1:14149 70TH RD
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1936
Mailing Address - Country:US
Mailing Address - Phone:718-268-5282
Mailing Address - Fax:718-261-4359
Practice Address - Street 1:14149 70TH RD
Practice Address - Street 2:
Practice Address - City:KEW GARDENS HILLS
Practice Address - State:NY
Practice Address - Zip Code:11367-1936
Practice Address - Country:US
Practice Address - Phone:718-268-5282
Practice Address - Fax:718-261-4359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY144545208000000X
NY145681208000000X
NY168120208000000X
NY236212208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty