Provider Demographics
NPI:1679718886
Name:GOLDSTEIN, LISSA KARY (MD)
Entity type:Individual
Prefix:
First Name:LISSA
Middle Name:KARY
Last Name:GOLDSTEIN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 SALZEDO ST APT 1008
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4346
Mailing Address - Country:US
Mailing Address - Phone:215-880-0198
Mailing Address - Fax:
Practice Address - Street 1:2000 SALZEDO ST APT 1008
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4346
Practice Address - Country:US
Practice Address - Phone:215-880-0198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-03
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261817207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine