Provider Demographics
NPI:1356355119
Name:GOLFINOS, JOHN G (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:G
Last Name:GOLFINOS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 1576
Mailing Address - Street 2:MADISON SQUARE STATION
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10159-1576
Mailing Address - Country:US
Mailing Address - Phone:212-263-2950
Mailing Address - Fax:212-263-1680
Practice Address - Street 1:530 1ST AVE
Practice Address - Street 2:SUITE 8R
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-2950
Practice Address - Fax:212-263-1680
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2021-04-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY200504-1207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
0300177OtherGHI
6406226004OtherCIGNA
N70723OtherHEALTHNET
32140OtherMAGNACARE
543579UOtherAETNA PPO
5887060OtherAETNA HMO
NY01614048Medicaid
1314943OtherUNITED HEALTHCARE
200504OtherHIP
NY01614048Medicaid
200504OtherHIP