Individual
DR. MICHAEL S GOLDSTOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 NOTT ST, SUITE 106, SCHENECTADY, NY 12308-2589
(518) 374-3123
(518) 374-9711
Mailing address
1201 NOTT ST, SUITE 106, SCHENECTADY, NY 12308-2589
(518) 374-3123
(518) 374-9711
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
176891-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000090270
GHI HMO
—
01
—
000410982001
BLUE SHIELD
—
01
—
000410982002
BLUE SHIELD NENY
—
01
—
00A41
EMPIRE BLUE CROSS
—
05
—
01462106
—
NY
01
—
040426006658
FIDELIS
—
01
—
05223
MVP
—
01
—
10000788
CDPHP
—
01
—
110160500
US DEPT OF LABOR
—
01
—
176891-1
TRICARE NORTH REGION
—
01
—
33588Q
FIDELIS MEDICARE
—
01
—
9707635
GHI
—
01
—
CAN1768910
WORKERS COMP
—
01
—
F72435
AMERICAN PROGRESSIVE TODA
—
01
—
MG000A4110
EMPIRE BLUE CROSS
—
01
—
MG000A4120
EMPIRE BLUE CROSS
—
Enumeration date
08/02/2005
Last updated
11/11/2010
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