Provider Demographics
NPI:1619953908
Name:GOLDSTEIN, HAROLD L (DPM)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:L
Last Name:GOLDSTEIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 WESTCHESTER AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2901
Mailing Address - Country:US
Mailing Address - Phone:914-681-3146
Mailing Address - Fax:914-682-6403
Practice Address - Street 1:210 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2901
Practice Address - Country:US
Practice Address - Phone:914-633-0650
Practice Address - Fax:914-682-6403
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004891213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY489100OtherCONNECTICARE
NY6200456OtherGHI PPO
NYPO5821OtherBLUE CROSS PPO
NY000000037672OtherGHI HMO
NY1C8473OtherHEALTH NET
NY2103259OtherAETNA HMO
NY1385119OtherUNITED HEALTH CARE
NYP610083OtherOXFORD
NY01287407050Medicaid
NY133884168OtherEMPIRE STATE PLAN (NYS)
NY133884168OtherPOMCO
NY6396580006OtherCIGNA PPO
NY133884168OtherBEECH STREET
NY133884168OtherMULTIPLAN
NY480034408OtherRAILROAD MEDICARE
NYN004891OtherHIP
NY5051510OtherAETNA NON HMO
NY509436OtherPHCS
NY2103259OtherAETNA HMO
NY133884168OtherPOMCO