Individual
DR. JEFFREY GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
208120-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02310570
—
NY
01
—
0599097
GHI
NY
01
—
2187114
UNITEDHEALTHCARE
NY
01
—
2903047
AETNA
NY
01
—
467F81
BLUE CROSS BLUE SHIELD
NY
01
—
4C2289
HEALTHNET
NY
01
—
528816
CIGNA
NY
01
—
P00182239
RR MEDICARE
NY
01
—
P2590682
OXFORD
NY
01
—
W21941
MEDICARE GROUP PTAN
NY
Enumeration date
10/26/2006
Last updated
04/18/2016
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