Provider Demographics
NPI:1740463215
Name:ALAN GOLDMAN MD STEVEN C TAWIL MD PC
Entity type:Organization
Organization Name:ALAN GOLDMAN MD STEVEN C TAWIL MD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:TAWIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-946-7557
Mailing Address - Street 1:PO BOX 2499
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11802
Mailing Address - Country:US
Mailing Address - Phone:718-946-7557
Mailing Address - Fax:718-946-7559
Practice Address - Street 1:130 BRIGHTON BEACH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235
Practice Address - Country:US
Practice Address - Phone:718-946-7557
Practice Address - Fax:718-946-7559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY172721207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty