# TODD R SCHLIFSTEIN, DO AND JEFFREY L GOLDSTEIN, DO, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fountain Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124273925
- **Authorized official:** TODD R SCHLIFSTEIN D.O. (MEMBER)
- **Authorized official phone:** (516) 488-4411

## Contact information

- **Practice address:** 201 E 69TH ST, SUITE 2C, NEW YORK, NY 10021-5471
- **Practice address phone:** (212) 327-1316
- **Practice address fax:** (212) 327-1613
- **Mailing address:** 201 E 69TH ST, SUITE 2C, NEW YORK, NY 10021-5471
- **Mailing address phone:** (212) 327-1316
- **Mailing address fax:** (212) 327-1613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 217381 | NY | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 205272 | NY | Yes |

## Other

- **Enumeration date:** 11/20/2008
- **Last updated:** 04/15/2011