Provider Demographics
NPI:1942267000
Name:GOLDSTEIN, ALLEN E (MS)
Entity Type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:E
Last Name:GOLDSTEIN
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 POLY PL
Mailing Address - Street 2:AUDIOLOGY (126)
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-7104
Mailing Address - Country:US
Mailing Address - Phone:718-630-3744
Mailing Address - Fax:718-630-3697
Practice Address - Street 1:800 POLY PL
Practice Address - Street 2:AUDIOLOGY (126)
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-7104
Practice Address - Country:US
Practice Address - Phone:718-630-3744
Practice Address - Fax:718-630-3697
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001201231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist