# SUSAN F GOLDSTEIN DO

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

## Provider details

- **NPI number:** 1649494642
- **Authorized official:** SUSAN FREYDA GOLDSTEIN DO (OWNER)
- **Authorized official phone:** (516) 487-5675

## Contact information

- **Practice address:** 525 NORTHERN BLVD, SUITE 001, GREAT NECK, NY 11021-5102
- **Practice address phone:** (516) 487-5675
- **Mailing address:** 525 NORTHERN BLVD, SUITE 001, GREAT NECK, NY 11021-5102
- **Mailing address phone:** (516) 487-5675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 154564 | NY | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 08/22/2020