Provider Demographics
NPI:1245221589
Name:GOLDSTEIN, ROBERT C (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:C
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 1:10 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5214
Mailing Address - Country:US
Mailing Address - Phone:914-637-3510
Mailing Address - Fax:914-819-0061
Practice Address - Street 1:10 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5214
Practice Address - Country:US
Practice Address - Phone:914-637-3510
Practice Address - Fax:914-819-0061
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207874207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1017546600001Medicaid
VA1548443153Medicaid
VA1043365299Medicaid
NY02086744Medicaid
NY38B20ZXWW1Medicare PIN
NY06509SMedicare PIN
CT050001519Medicare PIN
VA00X657R01Medicare PIN
VAG02453R01Medicare PIN
NJ035495RJ0Medicare PIN
PA1017546600001Medicaid
NY38B20ZT5H1Medicare PIN
NYRB3206Medicare PIN
G68422Medicare UPIN
NY38B20YWXZ1Medicare PIN
NY38B20YRXP1Medicare PIN
VA00X634M02Medicare PIN