# GLENN A GOLDSTEIN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437574654
- **Authorized official:** DR. GLENN ALLAN GOLDSTEIN M.D. (PRESIDENT)
- **Authorized official phone:** (212) 371-0500

## Contact information

- **Practice address:** 115 E 57TH ST, SUITE 1117, NEW YORK, NY 10022-2049
- **Practice address phone:** (212) 371-0500
- **Practice address fax:** (917) 591-0797
- **Mailing address:** 157 E 57TH ST, SUITE 5F, NEW YORK, NY 10022-2104
- **Mailing address phone:** (212) 371-0500
- **Mailing address fax:** (917) 591-0797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 146182 | NY | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 146182 | NY | Yes |

## Other

- **Enumeration date:** 02/25/2014
- **Last updated:** 03/17/2020